Dominique Alexis Jackson, PMHNP-C
NPI #1487487864 in Columbus, Mississippi
Provider Information
- NPI Number
- 1487487864
- Entity Type
- Individual
- Name
- Dominique Alexis Jackson, PMHNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-C
- Enumeration Date
- Aug 22, 2024
- Last Updated
- Oct 17, 2025
Practice Location
- Address
- 470 WILKINS WISE RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-1780
- Phone
- (662) 570-1109
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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