Dominique Terence Jackson, NURSE PRACTITIONER is a family nurse practitioner in Columbus, OH. Dominique Terence Jackson, NURSE PRACTITIONER NPI is 1174081822. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1791 ALUM CREEK DR STE 100
COLUMBUS, OH
ZIP 43207
Phone: (614) 526-5420
Fax: (614) 645-5517
The NPI 1174081822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 3/12/2019 and was last updated on 8/6/2019.