IndividualActive
Dominique Buckner
NPI 1508504515 · Licensed Practical Nurse · Jackson, MS
Dominique Buckner is a Licensed Practical Nurse provider in Jackson, MS (NPI 1508504515).
Provider details
- NPI number
- 1508504515
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 337392 (MS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
655 Meadowbrook Rd
Jackson, MS 39206-5842
Phone: (601) 882-4878
Street-level locationGet directions
Mailing address
655 Meadowbrook Rd
Jackson, MS 39206-5842
Registry dates
- Enumerated
- 2022-05-20
- Last updated
- 2023-03-20
- Certified
- 2023-03-20
Frequently asked questions
- What is Dominique Buckner's NPI number?
- Dominique Buckner's National Provider Identifier (NPI) is 1508504515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Buckner's specialty?
- Dominique Buckner is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Dominique Buckner located?
- Dominique Buckner's practice location on file with NPPES is 655 Meadowbrook Rd, Jackson, MS 39206-5842.
- What is Dominique Buckner's phone number?
- The practice phone number listed in the NPPES registry for Dominique Buckner is (601) 882-4878.
- Is Dominique Buckner's NPI active?
- Yes — Dominique Buckner's NPI (1508504515) is active in the NPPES registry as of the last update on 2023-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.