MR. JACQUES DOMINIC DUBOIS


Address: 308 Brimhall St, Saint Paul, MN 55105-2430
Phone: 6516988115

MR. JACQUES DOMINIC DUBOIS (NPI# 1306135462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306135462
Entity Type Individual
Full Name MR. JACQUES DOMINIC DUBOIS
Credential R.N.
Practice Address 308 Brimhall St
Saint Paul
MN 55105-2430
Practice Telephone 6516988115
Mailing Telephone 6516988115
Enumeration Date 2011-03-29
Last Update Date 2011-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
188706-0 MN Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN MINNESOTA BOARD OF NURSING 188706-0 01

Office Location

Street Address 308 BRIMHALL ST
City SAINT PAUL
State MN
Zip Code 55105-2430

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1639736150 Hassan Hussein Sirat Registered Nurse 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 2019-05-20
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1679094304 Lisa Pouliot Registered Nurse 2356 University Ave W Ste 220, Saint Paul, MN 55114-1850 2017-07-03
1790205698 Der Yang Registered Nurse 2356 University Ave W #220, Saint Paul, MN 55114 2017-06-21
1184152084 Mai Nhia Vang Registered Nurse 1261 Payne Ave Ste 102, Saint Paul, MN 55130-3668 2017-05-23
1548700677 Susan Nduta Apollo Registered Nurse 2316 Londin Ct E # 28, Saint Paul, MN 55119-5517 2017-03-08
1255873931 Bethlehem Kiflom Registered Nurse 1800 Graham Ave Unit 330, Saint Paul, MN 55116-1371 2016-11-10
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Competitor

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City SAINT PAUL
Zip Code 55105

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Dataset Information

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.

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