person
Dominique Terence Jackson, NURSEPRACTITIONER
Student in an Organized Health Care Education/Training Program in Columbus, Ohio
NPI 1174081822

Dominique Terence Jackson is a Student in an Organized Health Care Education/Training Program based in Columbus, OH. Dominique Terence Jackson practices in Columbus, OH and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Dominique Terence Jackson is 1174081822 and holds a License No. APRN.CNP.024669 (Ohio).

The current practice location address for Dominique Terence Jackson is 1791 Alum Creek Dr Ste 100, Columbus, OH and can be reached out via phone at 614-526-5420 and via fax at 614-645-5517.

Location: 1791 Alum Creek Dr Ste 100, Columbus, OH, 43219-2289
person
Provider Profile Details
NPI Number
1174081822
Provider Name
Dominique Terence Jackson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
1791 Alum Creek Dr Ste 100, Columbus, OH, 43219-2289
Phone Number
614-526-5420
Fax Number
614-645-5517
Provider Enumeration Date
03/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1791 Alum Creek Dr Ste 100
City
State
Zip
43207
Phone Number
614-526-5420
Fax Number
614-645-5517
person
Provider Business Mailing Address Details
Address
1791 Alum Creek Dr Ste 100
City
State
Zip
43207
Phone Number
614-526-5420
Fax Number
614-645-5517
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
APRN.CNP.024669 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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