Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE MECHELLE JACKSON
ActiveDOMINIQUE MECHELLE JACKSON is a Nurse Practitioner healthcare provider located in JACKSON, Mississippi. NPI 1679000814 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JACKSON, MS
Registration Details
- NPI Number
- 1679000814
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2017 (9.2375818049134 yrs)
- Last Updated
- Apr 20, 2021
- License
-
901975 (MS)
Practice Information
- Address
-
766B LAKELAND DRJACKSON, MS, 392164610Browse MS providers · Browse ZIP 39216
- Phone
- 6019822916
- Fax
- 6013662916
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DR. JOYCE BREWER | CFNP, CNM | 1316906308 |
| DR. BARBARA JANET BOSS | CFNP | 1023077765 |
| DR. AUDWIN FLETCHER | CFNP | 1861451510 |
| MRS. ANTONETTE LUCAS | NP | 1699735803 |
| MS. PAMELA HELMS | CFNP | 1588624621 |
| DR. LISA HAYNIE | CFNP | 1811957905 |
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.