NPI 1790293116

Jessica Marie Domire, APRN

Practitioner Nurse Practitioner Malta, MT

Practice location

Address: 140 S Central Ave, Malta, MT 59538
Phone: (406) 654-1953
Mailing address: PO Box 581, Malta, MT 59538-0581

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NUR-APRN-LIC-146098 (MT)

Other Nurse Practitioner providers in Montana →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence NUR-APRN-LIC-146098 (MT)

Registry record

NPI: 1790293116
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2018
Record last updated: 17 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.