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

Dominique Terence Jackson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1174081822

Dominique Terence Jackson, NURSEPRACTITIONER is a Family Nurse Practitioner in Columbus, Ohio. Works from 4 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1791 Alum Creek Dr Ste 100
Columbus, OH 43207
Phone: (614) 526-5420
Fax: (614) 645-5517
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 — (609) 572-0000
  • 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 — (609) 572-0000
  • 1 N White Horse Pike, Hammonton, NJ 08037-1875 — (609) 567-1169

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.024669 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174081822
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESAugust 6, 2019

Other providers in Columbus