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DOMINIQUE TERENCE JACKSON NURSE PRACTITIONER
NPI 1174081822
Nurse Practitioner - Family in Columbus, OH

Active since March 12, 2019
1791 ALUM CREEK DR STE 100, COLUMBUS, OH 43207(614) 526-5420(614) 645-5517 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Mar 12, 2019 (2 updates tracked since 2019).

About Dominique Terence Jackson Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE TERENCE JACKSON NURSE PRACTITIONER (NPI 1174081822) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.024669) and active in the NPI registry since March 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174081822
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE TERENCE JACKSONCredential: NURSE PRACTITIONER
Location Address1791 ALUM CREEK DR STE 100Columbus, OH 43207
Mailing Address2780 Airport Dr Ste 100Columbus, OH 43219-2289 · (614) 859-1906 · Fax (614) 645-5517
Phone(614) 526-5420
Fax(614) 645-5517
Sole ProprietorNo
Enumeration DateMarch 12, 2019
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1174081822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.024669
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1791 ALUM CREEK DR STE 100, Columbus, OH 43207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11301 Atlantic AveAtlantic City, NJ 08401-7247 · Phone (609) 572-0000
Location 21 N White Horse PikeHammonton, NJ 08037-1875 · Phone (609) 567-1169

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, CareSource, Highmark Blue Cross Blue Shield Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL BISHOP LISW
Social Worker (Clinical)
1791 ALUM CREEK DR STE 100
COLUMBUS, OH 43207
Franklin County (614) 526-5420
NASRA H. BUBE MSW, LSW
Social Worker (Clinical)
1791 ALUM CREEK DR STE 100
COLUMBUS, OH 43207
Franklin County (614) 645-5500
CLAYTON A FREDERICK
Nurse Practitioner (Psychiatric/Mental Health)
1791 ALUM CREEK DR STE 100
COLUMBUS, OH 43207
Franklin County (614) 645-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Jackson's NPI number?

The NPI number for Dominique Jackson is 1174081822. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Dominique Jackson located?

Dominique Jackson practices at 1791 Alum Creek Dr Ste 100, Columbus, OH 43207. The listed phone number is (614) 526-5420.

What is Dominique Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Dominique Jackson accept?

Health plans from BridgeSpan Health Company, CareSource, Highmark Blue Cross Blue Shield Delaware and Regence BlueCross BlueShield of Utah list Dominique Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Jackson was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.