Individual
DOMINIQUE JAQUETTA NICOLE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MEADOWBROOK RD, JACKSON, MS 39206-5842
(601) 882-4878
Mailing address
655 MEADOWBROOK RD, JACKSON, MS 39206-5842
(601) 882-4878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337392
MS
Other
Enumeration date
05/20/2022
Last updated
03/20/2023
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