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

Individual provider Acute Care Nurse Practitioner · NPI 1366424921

Jacqueline D Dominick, CRNP is a Nurse Practitioner in Glen Burnie, Maryland. Graduated from University of Maryland School of Medicine in 1997, 29 years ago. Practices with University of Maryland Baltimore Washington Heart Associates LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
29
Trained at
University of Maryland School of Medicine
Licensed in
MD
In the registry since
2005
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone: (410) 787-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R097460 (MD)

Record details

NPI number1366424921
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESDecember 3, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice University Of Maryland Baltimore Washington Heart Associates Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Burnie