Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Ware Jackson

Individual provider Family Nurse Practitioner · NPI 1184397416

Brooke Ware Jackson is a Nurse Practitioner in Roanoke, Virginia. Qualified in 2021, 5 years ago. Practices with Carilion Healthcare Corporation, a 549-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

3707 Brambleton Ave Ste 2
Roanoke, VA 24018-3658
Phone: (540) 725-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024182199 (VA)

Record details

NPI number1184397416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address3707 Brambleton Ave Ste 2, Roanoke, VA 24018-3658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Carilion Healthcare Corporation — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roanoke