Individual
JENNIFER DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 PEPPERELL PKWY BLDG 190, OPELIKA, AL 36801-5422
(334) 528-5930
Mailing address
2000 PEPPERELL PKWY BLDG 190, OPELIKA, AL 36801-5422
(334) 528-5930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
02/17/2026
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