JENNIFER DOMINGUE PMHNP-BC
NPI 1265170179
Nurse Practitioner - Psychiatric/Mental Health in North Miami, FL

Q: What is Jennifer Domingue's NPI number?

The NPI number for Jennifer Domingue is 1265170179. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Q: What is Jennifer Domingue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Domingue was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2022

1051 NE 138TH ST, NORTH MIAMI, FL 33161(305) 494-9999 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Domingue Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DOMINGUE PMHNP-BC (NPI 1265170179) is an individual psychiatric/mental health provider in North Miami, Florida, licensed in Florida (11019511) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1265170179

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER DOMINGUECredential: PMHNP-BC

Location Address1051 NE 138TH STNorth Miami, FL 33161-3823

Mailing Address1051 Ne 138th StNorth Miami, FL 33161-3823 · (305) 494-9999

Phone(305) 494-9999

Sole ProprietorYes

Enumeration DateMay 23, 2022

NPPES CertifiedMay 21, 2022

✔ NPI 1265170179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11019511

1051 NE 138TH ST, North Miami, FL 33161

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Domingue's NPI number?

The NPI number for Jennifer Domingue is 1265170179. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Jennifer Domingue located?

Jennifer Domingue practices at 1051 NE 138th St, North Miami, FL 33161. The listed phone number is (305) 494-9999.

What is Jennifer Domingue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Domingue was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.