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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE TERENCE JACKSON, NURSE PRACTITIONER

Active

DOMINIQUE TERENCE JACKSON, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in COLUMBUS, Ohio. NPI 1174081822 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · COLUMBUS, OH

Registration Details

NPI Number
1174081822
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2019 (7.4376261148433 yrs)
Last Updated
Aug 6, 2019
License
APRN.CNP.024669 (OH)

Practice Information

Address
1791 ALUM CREEK DR STE 100
COLUMBUS, OH, 43207
Browse OH providers · Browse ZIP 43207
Phone
6145265420
Fax
6146455517
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in COLUMBUS, OH

Name Credential NPI
KARLA M. RUSK APRN-CNP 1902801368
DIANE E JOHNSTON N.P. 1235134685
MRS. AMY M KIRK CNP 1407851876
MS. ELIZABETH RITA HOUGLAN CNP 1487651642
JACQUELYN V WHITE CFNP,MSN 1447259064
MS. JANICE LYNN BADENHOP DAVIS CNP 1578562237
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.