DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAENA MICHELLE DOMINGUEZ, PA-C

Active

JAENA MICHELLE DOMINGUEZ, PA-C is a Physician Assistant healthcare provider located in BEDFORD, Virginia. NPI 1043942105 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BEDFORD, VA

Registration Details

NPI Number
1043942105
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2022 (4.1181246759696 yrs)
Last Updated
Jun 2, 2025
Licenses
5849 (SC)
0110-008657 (VA)

Practice Information

Address
1613 OAKWOOD ST
BEDFORD, VA, 245231213
Browse VA providers · Browse ZIP 24523
Phone
8434948441
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BEDFORD, VA

Name Credential NPI
MRS. ALEXIS R CHANTAL PA-C 1528013497
PAUL G MALONE PA-C 1962594895
MS. LATOYA MICHELLE BONNEY PA-C 1942409263
JASON PAGE MEADOR PA-C 1700107968
KELLY P DINH PA 1588918239
DANIEL GOSHORN PA-C 1477037950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.