DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1174081822

DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) is a healthcare provider. based in Atlantic city, New Jersey. specializing in Family Nurse Practitioner. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. APRN.CNP.024669 (OH). The NPI Number for DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) is 1174081822

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)
NPI
1174081822
Phone
(609) 572-0000
Address
1301 Atlantic Ave
Enumeration Date
12 March 2019
Last Update Date
6 August 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
6146455535
Graduation Year
2018 (8 years ago)
PAC ID
6406187814
Group Practice PAC ID
3678469129
Professional Enrollment ID
I20191016003107
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)

  • 1301 Atlantic Ave

    Atlantic City, NJ 084017247

    Phone: (609) 572-0000

    Type: Location

  • 1 N White Horse Pike

    Hammonton, NJ 080371875

    Phone: (609) 567-1169

    Type: Location

  • Airport Drive, Shepard, Columbus, Franklin, Ohio, 43129, United States

    COLUMBUS, OH 432192289

    Phone: (614) 859-1906

    Fax: (614) 645-5517

    Type: Mailing

  • Alum Creek Drive, Hanford, Columbus, Franklin, Ohio, 43125, United States

    COLUMBUS, OH 43207

    Phone: (614) 526-5420

    Fax: (614) 645-5517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678469129View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Clinical Social WorkerOH
Nurse PractitionerOH
-OH
Internal Medicine, Geriatric MedicineOH
-OH

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Frequently asked questions

What unique ID ties claims to DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)?
NPI 1174081822 is assigned to DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) under the national enumeration system.
Is DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) active in the national directory?
DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)'s public NPI profile is in an active state.
Can you summarize DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)'s specialty in plain language?
Clinically, the directory lists DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER)?
The page summarizes Atlantic City, New Jersey for DOMINIQUE TERENCE JACKSON (NURSE PRACTITIONER); expand the address list for detail.
What if Atlantic City, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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