Provider Demographics
NPI:1629881248
Name:ONEAL, DOMINIQUE NECOLE (LPN)
Entity type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:NECOLE
Last Name:ONEAL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9691 DUNRAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1619
Mailing Address - Country:US
Mailing Address - Phone:513-879-8624
Mailing Address - Fax:
Practice Address - Street 1:9691 DUNRAVEN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1619
Practice Address - Country:US
Practice Address - Phone:513-879-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH186542164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse