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

Racine Dominique Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1073216719

Racine Dominique Jackson, NP is a Nurse Practitioner in Alexandria, Louisiana. Qualified in 2022, 4 years ago. Practices with Calcasieu Cameron Hospital Medicine Group LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

211 4th St
Alexandria, LA 71301-8421
Phone: (318) 769-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 229255 (LA)

Record details

NPI number1073216719
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 22, 2023
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Calcasieu Cameron Hospital Medicine Group Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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