Ms Dominique Chrystel Penn, - Licensed Practical Nurse in Stoughton, MA

Ms Dominique Chrystel Penn, is a Licensed Practical Nurse based in Stoughton, Massachusetts. Ms Dominique Chrystel Penn is licensed to practice in Massachusetts (license number LN95762) and her current practice location is 100 Water St Apt 27, Stoughton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (781) 975-4441.

NPI number for Ms Dominique Chrystel Penn is 1871172619 and her current mailing address is 100 Water St Apt 27, Stoughton, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871172619.

Contact Information

Ms Dominique Chrystel Penn,
100 Water St Apt 27,
Stoughton, MA 02072-2866
(781) 975-4441
Not Available

Map and Direction




Provider's Profile

Full NameMs Dominique Chrystel Penn
GenderFemale
SpecialityLicensed Practical Nurse
Location100 Water St Apt 27, Stoughton, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871172619
  • Provider Enumeration Date: 04/07/2021
  • Last Update Date: 04/07/2021

Medical Identifiers

Medical identifiers for Ms Dominique Chrystel Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871172619NPI-NPPES
NOOtherNO
NAOtherNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LN95762 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Dominique Chrystel Penn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Dominique Chrystel Penn,
100 Water St Apt 27,
Stoughton, MA 02072-2866

Ph: (781) 975-4441
Ms Dominique Chrystel Penn,
100 Water St Apt 27,
Stoughton, MA 02072-2866

Ph: (781) 975-4441

Reviews and Comments


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