Dominique Jaquetta Nicole Buckner is a licensed practical nurse in Jackson, MS. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Dominique Jaquetta Nicole Buckner NPI is 1508504515. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
655 MEADOWBROOK RD
JACKSON, MS
ZIP 39206-842
Phone: (601) 882-4878
The NPI 1508504515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The enumeration date for this NPI number is 5/20/2022 and was last updated on 3/20/2023.