Domm, Jennifer Ann

Domm, Jennifer Ann is an individual health care provider with primary practice located at 330 23Rd Ave N Suite 450, Nashville TN 37203-1534. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Domm, Jennifer Ann can be contacted via phone (615) 342-7339.

Contact Information

Primary practice address
330 23Rd Ave N Suite 450 Nashville TN 37203-1534
Phone: (615) 342-7339
Fax: (615) 342-7340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39424 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD39424 Tennessee

Profile Details

NPI number 1558395665
LBN Legal business name Domm, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558395665 NPPES
Other 62-0476822 TAX ID

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