Dominique Alexis Jackson

PMHNP-C | Nurse Practitioner - Psych/Mental Health

1035 Courtney Rd, Hermanville
  Mississippi, 39086-7700
601-617-9659
May or may not accept Medicare Nurse Anesthetist in Hermanville, Mississippi.
Dominique Alexis Jackson is a Hermanville, Mississippi based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Dominique Alexis Jackson is 906979 for Psych/Mental Health in Mississippi. Her current practice location is 1035 Courtney Rd, Hermanville. Patients can reach her at 601-617-9659. Dominique Alexis Jackson is PMHNP-C with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1487487864.
Dominique Alexis Jackson provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Dominique Alexis Jackson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Dominique Alexis Jackson
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: PMHNP-C
Practice Address:1035 Courtney Rd, Hermanville,
Mississippi, 39086-7700
Phone:601-617-9659
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1487487864
NPI Enumeration Date: 22 Aug, 2024
NPI Last Update On: 26 Sep, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dominique Alexis Jackson are as mentioned below.
License NumberSpecializationStateStatus
906979Psych/Mental Health MississippiPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Dominique Alexis Jackson
1035 Courtney Rd,
Hermanville, Mississippi
Zip: 39086-7700
Phone Number: 601-617-9659
Patients can reach Dominique Alexis Jackson at 1035 Courtney Rd, Hermanville, Mississippi or can call to book an appointment on 601-617-9659.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.