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MS. DOMINIQUE CHRYSTEL PENN
NPI 1871172619
Licensed Practical Nurse in Stoughton, MA

Active since April 07, 2021
100 WATER ST APT 27, STOUGHTON, MA 02072(781) 975-4441 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Dominique Chrystel Penn NPPES

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

MS. DOMINIQUE CHRYSTEL PENN (NPI 1871172619) is an individual licensed practical nurse in Stoughton, Massachusetts, licensed in Massachusetts (LN95762) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1871172619
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. DOMINIQUE CHRYSTEL PENN
Location Address100 WATER ST APT 27Stoughton, MA 02072-2866
Mailing Address100 Water St Apt 27Stoughton, MA 02072-2866 · (781) 975-4441
Phone(781) 975-4441
Sole ProprietorNo
Enumeration DateApril 7, 2021
NPPES CertifiedApril 6, 2021
✔ NPI 1871172619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN95762
Definition
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.
100 WATER ST APT 27, Stoughton, MA 02072
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Other Identifiers 1

OtherNONo

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 Dominique Penn's NPI number?

The NPI number for Dominique Penn is 1871172619. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Dominique Penn located?

Dominique Penn practices at 100 Water St Apt 27, Stoughton, MA 02072. The listed phone number is (781) 975-4441.

What is Dominique Penn's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dominique Penn was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.