MARIA MORRISON DOMINICK PMHNP NPI 1841866050

NPI Information

  • NPI: 1841866050
  • Provider Name: MARIA MORRISON DOMINICK, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3446 POPP'S FERRY ROAD
    DIBERVILLE, MS
    ZIP 39540
  • Phone: (228) 392-4153

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NPI Details

Maria Morrison Dominick, PMHNP is a psychiatric/mental health nurse practitioner in Diberville, MS. Maria Morrison Dominick, PMHNP NPI is 1841866050. 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:

3446 POPP'S FERRY ROAD
DIBERVILLE, MS
ZIP 39540
Phone: (228) 392-4153

The NPI 1841866050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 8/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse901428MISSISSIPPINo
2363LP0808XNurse PractitionerPsychiatric/Mental Health906771MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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