Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMENICA RAEGENE NYCOLE JACKSON
ActiveDOMENICA RAEGENE NYCOLE JACKSON is a Social Worker healthcare provider located in RUSSELLVILLE, Alabama. NPI 1922870179 is currently active in the NPPES registry. Verify at CMS.
Social Worker · RUSSELLVILLE, AL
Registration Details
- NPI Number
- 1922870179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2023 (2.7665388623557 yrs)
- Last Updated
- Mar 3, 2024
- License
-
6371G (AL)
Practice Information
- Address
-
12260 HIGHWAY 43RUSSELLVILLE, AL, 356534737Browse AL providers · Browse ZIP 35653
- Phone
- 2567108558
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in RUSSELLVILLE, AL
| Name | Credential | NPI |
|---|---|---|
| LAQUITA UNDERWOOD | — | 1578256004 |
| MRS. LETANNDRA THOMPSON | LMSW | 1003661547 |
| MRS. CAITLIN MCCOOL ALLEN | LMSW | 1467337410 |
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.