Dominique Jackson, is a
Doula based in Columbus, Ohio. Dominique Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
20 S 3rd St Ste 210, Pmb 1971281, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 815-2490.
NPI number for Dominique Jackson is 1831918895 and her current mailing address is 20 S 3rd St Ste 210, Pmb 1971281, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831918895.
Healthcare Provider's Profile
| Full Name | Dominique Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Doula |
|---|
| Location | 20 S 3rd St Ste 210, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831918895
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Dominique Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831918895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
| 374J00000X | Doula | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dominique Jackson,
20 S 3rd St Ste 210, Pmb 1971281,
Columbus, OH 43215-4206
Ph: () - | Dominique Jackson,
20 S 3rd St Ste 210, Pmb 1971281,
Columbus, OH 43215-4206
Ph: (614) 815-2490 |
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