| Ms Sahara Patricia Dominguez, FNP-C, PMHNP-C | |
|
120 Law Ln, Charlotte Court House, VA 23923 | |
| (804) 433-1040 | |
| Not Available |
| Full Name | Ms Sahara Patricia Dominguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 120 Law Ln, Charlotte Court House, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447768163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024175738 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | CNP181043 (Maine) | Secondary |
| Entity Name | Johnson Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316926538 PECOS PAC ID: 9537060413 Enrollment ID: O20040709000047 |
| Entity Name | Spero Health Of Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104465103 PECOS PAC ID: 5193102788 Enrollment ID: O20220520000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sahara Patricia Dominguez, FNP-C, PMHNP-C 3900 Westerre Pkwy Ste 302, Richmond, VA 23233-1339 Ph: (804) 433-1040 | Ms Sahara Patricia Dominguez, FNP-C, PMHNP-C 120 Law Ln, Charlotte Court House, VA 23923 Ph: (804) 433-1040 |
Nicole Yvette Powers, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Thomas Jefferson Hwy, Charlotte Court House, VA 23923 Phone: 434-542-5187 | |
Kimberly Dawn Jubb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Legrande Ave., Charlotte Court House, VA 23923 Phone: 434-542-5560 | |
Mr. Courtney Bailey Jones, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Legrande Ave, Charlotte Court House, VA 23923 Phone: 434-542-5560 | |
Dr. Jennifer Gallagher Jones, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Legrande Ave, Charlotte Court House, VA 23923 Phone: 434-542-5560 | |
Joseph Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 Legrande Ave, Charlotte Court House, VA 23923 Phone: 434-542-5560 Fax: 434-542-5745 | |
Mrs. Sarah Wenger Deane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Legrande Ave, Charlotte Court House, VA 23923 Phone: 434-542-5560 Fax: 434-542-5745 |