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

Michelle Jackson, FNP-BC

Individual provider Registered Nurse · NPI 1306095658

Michelle Jackson, FNP-BC is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolina Medicorp Enterprises LLC, a 185-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
7
Licensed in
NC, NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone: (743) 230-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 163 Poospatuck Ln, Mastic, NY 11950-5201 — (631) 772-4622

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5016294 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 503813 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 344797 (NY)

Record details

NPI number1306095658
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 11, 2008
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolina Medicorp Enterprises Llc — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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