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

Dominique Shunta Sulton

Individual provider Nursing Care Agency · NPI 1366211138

Dominique Shunta Sulton is a Nursing Care Agency in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2023
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Practice location Address checks out

5600 Keele St Apt 1808
Jackson, MS 39206-2047
Phone: (251) 550-7748
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Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X · Licence 60561 (MS)

Record details

NPI number1366211138
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2023
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address5600 Keele St Apt 1808, Jackson, MS 39206-2047

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