DOMINIQUE NETTLES LPN
NPI 1992521322
Licensed Practical Nurse in Fort Wayne, IN

Q: What is Dominique Nettles's NPI number?

The NPI number for Dominique Nettles is 1992521322. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Q: What is Dominique Nettles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dominique Nettles was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 December 02, 2024

431 DALMAN AVE, FORT WAYNE, IN 46806(260) 312-9492 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dominique Nettles Lpn NPPES

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

DOMINIQUE NETTLES LPN (NPI 1992521322) is an individual licensed practical nurse in Fort Wayne, Indiana, licensed in Indiana (27072591A) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1992521322

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameDOMINIQUE NETTLESCredential: LPN

Location Address431 DALMAN AVEFort Wayne, IN 46806-4011

Mailing Address431 Dalman AveFort Wayne, IN 46806-4011 · (260) 312-9492

Phone(260) 312-9492

Sole ProprietorYes

Enumeration DateDecember 2, 2024

NPPES CertifiedDecember 2, 2024

✔ NPI 1992521322 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 IN · 27072591A

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.

431 DALMAN AVE, Fort Wayne, IN 46806

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOR A SUCH TIME

In Home Supportive Care

431 DALMAN AVE
FORT WAYNE, IN 46806

Allen County (260) 312-9492

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 Nettles's NPI number?

The NPI number for Dominique Nettles is 1992521322. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Dominique Nettles located?

Dominique Nettles practices at 431 Dalman Ave, Fort Wayne, IN 46806. The listed phone number is (260) 312-9492.

What is Dominique Nettles'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 Nettles was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.