IndividualActive
Adeline Domkam, FNP
NPI 1609521301 · Family Nurse Practitioner · Stockton, CA
Provider details
- NPI number
- 1609521301
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- F01220784 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3031 W March Ln Ste 101
Stockton, CA 95219-6568
Phone: (209) 472-7100
Approximate (ZIP-level) locationGet directions
Mailing address
3031 W March Ln Ste 101
Stockton, CA 95219-6568
Registry dates
- Enumerated
- 2022-02-21
- Last updated
- 2022-02-21
- Certified
- 2022-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.