DOMINIQUE JACKSON

Nurse Practitioner

NPI: 1679000814IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

901975(MS)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2008

Contact & Hours

Address: 766B LAKELAND DR
JACKSON, MS 39216
Phone: (601) 982-2916

Location

Practice Location

766B LAKELAND DR, JACKSON, MS

Quick Facts

NPI: 1679000814
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 18

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