JESSICA RAE DOMAN (NPI# 1407196918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407196918 |
| Entity Type | Individual |
| Full Name | JESSICA RAE DOMAN |
| Credential | FNP-BC |
| Practice Address |
301 Wolverine Trl Suite 100 Smyrna TN 37167-5656 |
| Practice Telephone | 6154596700 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0000161022 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000017365 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 WOLVERINE TRL SUITE 100 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-5656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289535 | Jacqueline Butler-mitchell | Dentist | 301 Wolverine Trl, Suite 203, Smyrna, TN 37167-5656 | 2005-10-17 |
| 1639736325 | Candace Copeland | Counselor | 301 Wolverine Trl, Smyrna, TN 37167-5656 | 2019-05-29 |
| 1538628904 | Spero Health of Tennessee, LLC | Clinic/Center | 301 Wolverine Trl, Smyrna, TN 37167-5656 | 2019-03-15 |
| 1083079594 | Amber Mefford | Speech-Language Pathologist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2015-12-28 |
| 1467837666 | Kaylen Rhea Fletcher | Occupational Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2015-07-29 |
| 1962882175 | Amber Mullins | Occupational Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2015-06-03 |
| 1356732358 | Amber Manning | Speech-Language Pathologist | 301 Wolverine Trl, Smyrna, TN 37167-5656 | 2015-02-11 |
| 1245649821 | Krystal Jade Johnson | Occupational Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2014-08-07 |
| 1386060374 | Marjorie Christine Morris | Physical Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2014-03-14 |
| 1275957383 | Lindsay Shaw | Occupational Therapist | 301 Wolverine Trl, Suite 201, Smyrna, TN 37167-5656 | 2014-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260972 | Olivia Sims Michel | Nurse Practitioner | 3375 Spring Hill Pkwy Se Apt 1729, Smyrna, GA 30080-6867 | 2020-09-20 |
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1336606060 | Eunice Carreen Boyd-gant | Nurse Practitioner | 249 Arrowood Dr, Smyrna, DE 19977-4443 | 2019-02-28 |
| 1801351564 | Nicole Howard | Nurse Practitioner | 100 S Main St Ste 205, Smyrna, DE 19977-1479 | 2019-02-07 |
| 1104390491 | Lydia Al-awabdy | Nurse Practitioner | 501 Tackett Farms Rd, Smyrna, GA 30082-3918 | 2019-01-19 |
| 1346714094 | Angelica Marie Epps | Nurse Practitioner | 1505 Countryside Pl Se, Smyrna, GA 30080-8247 | 2019-01-16 |
| 1871085530 | Jessica Rose Goergen | Nurse Practitioner | 4441 Atlanta Rd Se Ste 317, Smyrna, GA 30080-6443 | 2018-05-30 |
| 1063965168 | Tehri Kellie Roberts | Nurse Practitioner | 300 Stonecrest Blvd Ste 210, Smyrna, TN 37167-6800 | 2016-07-26 |
| 1164885935 | Jullie Sweetser | Nurse Practitioner | 4452 Oakdale Rd Se, Smyrna, GA 30080-6934 | 2016-03-30 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.