Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Alexis Jackson, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487487864

Dominique Alexis Jackson, PMHNP-C is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2024, 2 years ago. Practices with Yeates Consulting LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024

Practice location Address checks out

470 Wilkins Wise Rd
Columbus, MS 39705-1780
Phone: (662) 570-1109
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 906979 (MS)

Record details

NPI number1487487864
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedAugust 22, 2024
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Yeates Consulting Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Columbus