Dominique Jackson, NURSE PRACTITIONER
NPI 1174081822 · Family Nurse Practitioner · Columbus, OH
Dominique Jackson, NURSE PRACTITIONER is a Family Nurse Practitioner provider in Columbus, OH (NPI 1174081822).
Provider details
- NPI number
- 1174081822
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- No
- License
- APRN.CNP.024669 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1301 Atlantic AveAtlantic City, NJ 08401-7247Phone: (609) 572-0000
- 1301 Atlantic AveAtlantic City, NJ 08401-7247Phone: (609) 572-0000
- 1 N White Horse PikeHammonton, NJ 08037-1875Phone: (609) 567-1169
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2019-08-06
Frequently asked questions
- What is Dominique Jackson's NPI number?
- Dominique Jackson's National Provider Identifier (NPI) is 1174081822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Jackson's specialty?
- Dominique Jackson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dominique Jackson located?
- Dominique Jackson's practice location on file with NPPES is 1791 Alum Creek Dr Ste 100, Columbus, OH 43207.
- What is Dominique Jackson's phone number?
- The practice phone number listed in the NPPES registry for Dominique Jackson is (614) 526-5420.
- Is Dominique Jackson's NPI active?
- Yes — Dominique Jackson's NPI (1174081822) is active in the NPPES registry as of the last update on 2019-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.