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Contact Information

JESSICA M DOMIRE, APRN
140 S CENTRAL AVE
MALTA, MT59538
 Phone: 406-654-1953
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA M DOMIRE · (Female)

NPI # 1790293116
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 01/19/2018
Last updated 03/17/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # NUR-APRN-LIC-146098
Hospital affiliation(s)
  • DANIELS MEMORIAL HOSPITAL - (Critical Access)
    105 5TH AVE E
    SCOBEY, MT 59263
  • MCCONE COUNTY HEALTH CENTER - (Critical Access)
    605 SULLIVAN AVE
    CIRCLE, MT 59215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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