Individual provider · Type 1 NPI
Dominique Alexis Jackson, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Clinton, MS
NPI number
1487487864
Active
Practice location
604 Highway 80 W Ste P-1
Clinton, MS 39056-4108
Fax (601) 893-7096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 906979 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
Other psychiatric/mental health nurse practitioner providers in Clinton
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- Abbey CobbPsychiatric/Mental Health Nurse Practitioner Clinton, MS NPI 1407774920
- Katie Mae Spann, APRN PMHNPPsychiatric/Mental Health Nurse Practitioner Clinton, MS NPI 1457998965
- Sheila Marie Butler, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Clinton, MS NPI 1578144648
About NPI 1487487864
Dominique Alexis Jackson, PMHNP-C's National Provider Identifier is 1487487864, issued on Aug 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, MS. The record was last updated on Sep 24, 2026.