Individual provider · Type 1 NPI

Racine Dominique Jackson, NP

Family Nurse Practitioner · Alexandria, LA

NPI number 1073216719 Active

Practice location

211 4th St
Alexandria, LA 71301-8421

Mailing address

2525 W Orice Roth Rd Apt 1510
Gonzales, LA 70737-5336

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X229255 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1073216719

Racine Dominique Jackson, NP's National Provider Identifier is 1073216719, issued on Mar 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Alexandria, LA. The record was last updated on Oct 5, 2025.