Dominique Mechelle Jackson

Nurse Practitioner | 17+ years Exp

766b Lakeland Dr, Jackson
  Mississippi, 39216-4610
601-982-2916
Accepts Medicare Nurse Anesthetist in Jackson, Mississippi.
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 NumberSpecializationStateStatus
901975 MississippiPrimary
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:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.