Dominique Mechelle Jackson
Nurse Practitioner | 17+ years Exp
766b Lakeland Dr, Jackson
Mississippi, 39216-4610
601-982-2916
Dominique Mechelle Jackson is a Jackson, Mississippi based nurse practitioner with 17 years of experience in . She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dominique Mechelle Jackson is 901975 in Mississippi. Her current practice location is 766b Lakeland Dr, Jackson. Patients can reach her at 601-982-2916 or can fax her at 601-366-2916 and her NPI number (Unique professional ID assigned by NPPES) is 1679000814.
Dominique Mechelle Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dominique Mechelle 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 Mechelle Jackson |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 766b Lakeland Dr, Jackson,
Mississippi, 39216-4610 |
| Phone: | 601-982-2916 |
| Fax: | 601-366-2916 |
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.
| PAC ID: | 2466720669 |
| Enrollment ID: | I20210504000885 |
| NPI Number: | 1679000814 |
| NPI Enumeration Date: | 18 May, 2017 |
| NPI Last Update On: | 20 Apr, 2021 |
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 Mechelle Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 901975 | | Mississippi | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dominique Mechelle Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Garvey Wellness Clinic, Inc (0042432205) | 4 |
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 Mechelle Jackson
766b Lakeland Dr,
Jackson, Mississippi |
| Zip: | 39216-4610 |
| Phone Number: | 601-982-2916 |
| Fax Number: | 601-366-2916 |
Patients can reach Dominique Mechelle Jackson at
766b Lakeland Dr, Jackson, Mississippi or can
call to book an appointment on 601-982-2916.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.