Individual
DOMINIQUE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
148 POST AVE, NEW YORK, NY 10034-2667
(845) 267-1400
Mailing address
2244 BRONX PARK E APT 2D, BRONX, NY 10467-7516
(407) 924-3771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767792
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406069
NY
Other
Enumeration date
03/01/2023
Last updated
10/31/2024
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