MRS. Jessica Marie Domire, APRN

NPI #1790293116 in Malta, Montana

Provider Information

NPI Number: 1790293116
Entity Type: Individual
Name: MRS. Jessica Marie Domire, APRN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse Practitioner
Credential: APRN
Enumeration Date: Jan 19, 2018
Last Updated: Mar 17, 2022

Practice Location

Address: 140 S CENTRAL AVE
City: Malta
State: Montana
ZIP Code: 59538
Phone: (406) 654-1953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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