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

Mrs. Marlee Hope Domangue

Individual provider Physician Assistant · NPI 1962230425

Mrs. Marlee Hope Domangue is a Physician Assistant in Jackson, Mississippi. Qualified in 2024, 2 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

971 Lakeland Dr Ste 750
Jackson, MS 39216-4608
Phone: (601) 200-4970
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 935 Timberton Dr, Pearl, MS 39208-8639 — (662) 202-7726

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962230425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Jackson