Jacqueline D Dominick is a Glen Burnie, Maryland based nurse practitioner with 27 years of experience in Acute Care. She completed her graduation from University Of Maryland School Of Medicine in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacqueline D Dominick is R097460 for Acute Care in Maryland. Her current practice location is 301 Hospital Dr, Glen Burnie. Patients can reach her at 410-787-4000. Jacqueline D Dominick is CRNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1366424921. Jacqueline D Dominick is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jacqueline D Dominick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032139720
Enrollment ID:
I20051123000560
NPI Number:
1366424921
NPI Enumeration Date:
18 Nov, 2005
NPI Last Update On:
03 Dec, 2007
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline D Dominick are as mentioned below.
License Number
Specialization
State
Status
R097460
Acute Care
Maryland
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(210043)
Glen burnie, MD
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jacqueline D Dominick is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mdics At Bwmc Llc (7315106184)
60
Other Medical Identifiers:
Other legacy medical identifiers associated with Jacqueline D Dominick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4457
Other
Maryland
BRAVO/ELDER HEALTH
127573
Other
Maryland
JOHNS HOPKINS HEALTH CARE
408588400
Medicaid
Maryland
F591-0020
Other
District Of Columbia
CARE FIRST BLUE CROSS
64696401
Other
Maryland
CARE FIRST BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jacqueline D Dominick 300 Hospital Dr, Suite 215 Glen Burnie, Maryland
Zip:
21061-6902
Phone Number:
410-787-4000
Fax Number:
410-787-4846
Patients can reach Jacqueline D Dominick at 301 Hospital Dr, Glen Burnie, Maryland or can call to book an appointment on 410-787-4000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.