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

Individual provider Nurse Practitioner · NPI 1679000814

Dominique Mechelle Jackson is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2008, 18 years ago. Practices with Garvey Wellness Clinic, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2017
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Practice location Address checks out

766B Lakeland Dr
Jackson, MS 39216-4610
Phone: (601) 982-2916
Fax: (601) 366-2916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 901975 (MS)

Record details

NPI number1679000814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Garvey Wellness Clinic, Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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