Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Marie Ferguson

Individual provider Emergency Medicine Physician · NPI 1336731884

Dominique Marie Ferguson is an Emergency Medicine in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2080 Child St Dept 5000
Jacksonville, FL 32214-2111
Phone: (904) 542-7300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1336731884 (VA)

Record details

NPI number1336731884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2021
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jacksonville