Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dawn Jannice Domenech, A-GNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1093171456

Dawn Jannice Domenech, A-GNP-C is a Nurse Practitioner in Yuma, Arizona. Qualified in 2015, 11 years ago. Practices with Acacia Family Practice Group Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

888 W 16th St
Yuma, AZ 85364-4542
Phone: (928) 550-7000
Fax: (928) 550-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP8363 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence TAP8363 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence TAP8363 (AZ)

Record details

NPI number1093171456
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2016
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Acacia Family Practice Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Yuma