DOMINIQUE JACKSON, PMHNP-C

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1487487864

Practice Address

470 WILKINS WISE RD
Columbus, MS 39705

Phone: (662) 570-1109

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 906979 (MS)

Frequently Asked Questions

NPI 1487487864 is the National Provider Identifier for DOMINIQUE JACKSON, PMHNP-C, a Nurse Practitioner - Psychiatric/Mental Health provider located in Columbus, MS. This NPI was enumerated on August 22, 2024.
DOMINIQUE JACKSON, PMHNP-C practices at 470 WILKINS WISE RD, Columbus, MS 39705.

Quick Facts

NPI
1487487864
Type
Individual
Enumerated
Aug 22, 2024
Last Updated
Oct 17, 2025

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