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

Dominique Jackson

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1386539864

Dominique Jackson is a Psychiatric/Mental Health Registered Nurse in Riverside, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3933 Harrison St
Riverside, CA 92503-3523
Phone: (951) 358-3863
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 95217669 (CA)

Record details

NPI number1386539864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address3933 Harrison St, Riverside, CA 92503-3523

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