Jamie Dominy
Individual provider Active NPI Licensed Vocational Nurse · Huntington, TX
NPI 1669973616 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1669973616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 195623 (TX)
- Practice address
- 1426 Neal Rd
Huntington, TX 75949-4514 - Phone
- (936) 422-5073
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195623 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 195623 | TX | Yes |
Addresses
Primary practice location
1426 Neal Rd
Huntington, TX 75949-4514
Mailing address
PO Box 53
Pennington, TX 75856-0053
Phone (936) 545-7932
Other providers in Huntington, TX
- Brookshire Brothers Inc
- Shelby Lauren Bryan
- Michelle Compton
- Angela Lynn Day
- Distinct Focus on Life LP
- Gary Wayne Driver
- East Texas Acquisitions
- East TX DME Supply Inc
- Linda F Havard
- Huntington Health Care & Rehabilitation Center LTD.
All providers in Huntington, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.