SearchNorth Carolina363A00000X

Dominique Jackson, DMSC, PA-C

NPI 1841054392 · on the registry since 2024

Practice

Address
812 W King St
Kings Mountain, NC 28086
Phone
(704) 739-5456
Fax
(704) 739-5271
Organisation at this address
Cleco Primary Care Network
Gaston Family Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina