Individual
JESSICA RAE DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
301 WOLVERINE TRL, SUITE 100, SMYRNA, TN 37167-5656
(615) 459-6700
Mailing address
301 WOLVERINE TRL, SUITE 100, SMYRNA, TN 37167-5656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000161022
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000017365
TN
Other
Enumeration date
02/20/2013
Last updated
03/25/2014
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