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 Number | Specialization | State | Status | |
| 906979 | Psych/Mental Health | Mississippi | Primary | |
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 13 October, 2025.