Individual
MRS. JENNIFER HOLLY DOMENICO-BROCK
Active
Individual
MRS. JENNIFER HOLLY DOMENICO-BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0112072
CO
2255A2300X
Athletic Trainer
AT.0000841
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0003864-NP
CO
Other
Enumeration date
05/01/2007
Last updated
09/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up