Jenna Mae Domino

APNP | Nurse Practitioner | 6+ years Exp

2300 Western Ave, Manitowoc
  Wisconsin, 54220
920-320-3512
Accepts Medicare Nurse Anesthetist in Manitowoc, Wisconsin.
Jenna Mae Domino is a Manitowoc, Wisconsin based nurse practitioner with 6 years of experience in . She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jenna Mae Domino is 8540-33 for Family in Wisconsin. Her current practice location is 2300 Western Ave, Manitowoc. Patients can reach her at 920-320-3512. Jenna Mae Domino is APNP and her NPI number (Unique professional ID assigned by NPPES) is 1780174664.
Jenna Mae Domino has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jenna Mae Domino speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jenna Mae Domino
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: APNP
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2018
Accepts Medicare Assignment:Yes
Practice Address:2300 Western Ave, Manitowoc,
Wisconsin, 54220
Phone:920-320-3512
Professional Identification Codes:
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: 8628329133
Enrollment ID: I20180922000031
NPI Number: 1780174664
NPI Enumeration Date: 16 May, 2018
NPI Last Update On: 23 Jan, 2019

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jenna Mae Domino are as mentioned below.
License NumberSpecializationStateStatus
8540-33Family WisconsinPrimary
218918-30Registered Nurse WisconsinSecondary
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
(520107)Manitowoc, WIAcute 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 Jenna Mae Domino is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Froedtert Manitowoc Medical Group, Llc (2365836954)92
Holy Family Memorial Inc (0648183160)83
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jenna Mae Domino
937 S 39th St,
Manitowoc, Wisconsin
Zip: 54220-4707
Patients can reach Jenna Mae Domino at 2300 Western Ave, Manitowoc, Wisconsin or can call to book an appointment on 920-320-3512.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.