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

DOMINIQUE SHUNTA SULTON

Active Sole Proprietor

DOMINIQUE SHUNTA SULTON is a Hospice Care, Community Based healthcare provider located in JACKSON, Mississippi. NPI 1366211138 is currently active in the NPPES registry. Verify at CMS.

Hospice Care, Community Based · JACKSON, MS

Registration Details

NPI Number
1366211138
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2023 (2.4580019278795 yrs)
Last Updated
Dec 21, 2023
License
60561 (MS)
Sole Proprietor
Yes

Practice Information

Address
5600 KEELE ST APT 1808
JACKSON, MS, 392062047
Browse MS providers · Browse ZIP 39206
Phone
2515507748
Primary Specialty
Hospice Care, Community Based
251J00000X
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.