Dominique Jaquetta Nicole Buckner
Dominique Jaquetta Nicole Buckner is a Licensed Practical Nurse in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.
- Licensed in
- MS
- In the registry since
- 2022
Practice location Address checks out
655 Meadowbrook RdJackson, MS 39206-5842
Phone: (601) 882-4878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 337392 (MS) |
|---|
Record details
| NPI number | 1508504515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 20, 2022 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 20, 2023 |
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