Individual
MS. JENNIFER ANNE DOMVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2123 BARRINGTON MANOR DR APT 307, RALEIGH, NC 27612-3419
(740) 304-7505
(740) 304-7505
Mailing address
2123 BARRINGTON MANOR DR APT 307, RALEIGH, NC 27612-3419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005824
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016257
—
OH
Enumeration date
11/02/2009
Last updated
07/31/2025
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