Individual provider · Type 1 NPI

Dominique Terence Jackson, NURSE PRACTITIONER

Family Nurse Practitioner · Columbus, OH

NPI number 1174081822 Active

Practice location

1791 Alum Creek Dr Ste 100
Columbus, OH 43207

Call (614) 526-5420 Map

Fax (614) 645-5517

Mailing address

2780 Airport Dr Ste 100
Columbus, OH 43219-2289

Other practice locations

  • 1 N White Horse Pike, Hammonton, NJ 08037-1875 · (609) 567-1169
  • 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 · (609) 572-0000
  • 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 · (609) 572-0000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.024669 (OH)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1174081822

Dominique Terence Jackson, NURSE PRACTITIONER's National Provider Identifier is 1174081822, issued on Mar 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, OH. The record was last updated on Aug 6, 2019.