| Dominique Jaquetta Nicole Buckner, | |
|
655 Meadowbrook Rd, Jackson, MS 39206-5842 | |
| (601) 882-4878 | |
| Not Available |
| Full Name | Dominique Jaquetta Nicole Buckner |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 655 Meadowbrook Rd, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508504515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 337392 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Jaquetta Nicole Buckner, 655 Meadowbrook Rd, Jackson, MS 39206-5842 Ph: (601) 882-4878 | Dominique Jaquetta Nicole Buckner, 655 Meadowbrook Rd, Jackson, MS 39206-5842 Ph: (601) 882-4878 |
Mr. George Woodson Gully Jr., LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Denesha Spencer, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Christy L Davis, FNP Licensed Practical Nurse Medicare: Accepting Medicare Assignments Practice Location: 1190 N State St, Suite 204, Jackson, MS 39202 Phone: 601-973-1624 Fax: 601-973-1596 | |
Valeria Sims, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4795 Mcwillie Dr Ste 105, Jackson, MS 39206 Phone: 769-251-5602 | |
Myrtis Marie Harper, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 231 Mason Blvd, Jackson, MS 39212 Phone: 601-497-4861 Fax: 601-373-3716 | |
Shaneika Parker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1935 Lakeland Dr Ste 900, Jackson, MS 39216 Phone: 601-718-2468 | |
Mary Chikwendu Ananeme, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5906 Kristen Dr, Jackson, MS 39211 Phone: 601-519-9894 |