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

Mr. Carnel Jackson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1336523257

Mr. Carnel Jackson, NURSEPRACTITIONER is a Nurse Practitioner in Rochester, New York. Qualified in 2017, 9 years ago. Practices with Jacksons Health Family Health NP, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-2040
Phone: (585) 275-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 978 Clinton Ave S, Rochester, NY 14620-2040 — (585) 576-1001

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 342660 (NY)

Record details

NPI number1336523257
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 10, 2015
Last updated in NPPESJune 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jacksons Health Family Health Np — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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