Individual
MS. JA'NERE LENA DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4215 WOODRUFF RD, COLUMBUS, GA 31904-6889
(706) 653-6080
(706) 653-6052
Mailing address
4215 WOODRUFF RD, COLUMBUS, GA 31904-6889
(706) 653-6080
(706) 653-6052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN280061
GA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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