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DOMINECIA JAMILLE MAXWELL FNP NPI 1811650245


NPI Information

NPI: 1811650245
Provider Name: DOMINECIA JAMILLE MAXWELL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
490 US HIGHWAY 80 E STE 200
SUNNYVALE, TX
ZIP 75182
Phone: (972) 329-1996
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Dominecia Jamille Maxwell, FNP is a family nurse practitioner in Sunnyvale, TX with 3 years of experience. Dominecia Jamille Maxwell, FNP NPI is 1811650245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

490 US HIGHWAY 80 E STE 200
SUNNYVALE, TX
ZIP 75182-220
Phone: (972) 329-1996

The NPI 1811650245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2021 and was last updated on 12/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1057353TEXASNo
2363LF0000XNurse PractitionerFamily1057353TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.