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

Dominique Merle Mack

Individual provider Physician Assistant · NPI 1003603689

Dominique Merle Mack is a Physician Assistant in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2025.

Licensed in
NE
In the registry since
2025

Practice location Address checks out

1813 N 73rd St
Omaha, NE 68114-1905
Phone: (402) 991-5070
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence H14171394 (NE)

Record details

NPI number1003603689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address1813 N 73rd St, Omaha, NE 68114-1905

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