Individual
DOMINIQUE JANIELLE BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
123 BUSY BEE ST, ALTO, TX 75925-6258
(936) 645-8457
Mailing address
123 BUSY BEE ST, ALTO, TX 75925-6258
(936) 645-8457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1114694
TX
Other
Enumeration date
04/05/2023
Last updated
06/07/2023
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