Individual
DOMINIQUE MECHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
766B LAKELAND DR, JACKSON, MS 39216-4610
(601) 982-2916
(601) 366-2916
Mailing address
766B LAKELAND DR, JACKSON, MS 39216-4610
(601) 982-2916
(601) 366-2916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901975
MS
Other
Enumeration date
05/18/2017
Last updated
04/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us