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

Pharnethia Goodman Jackson, NP-C

Individual provider Registered Nurse · NPI 1124164173

Pharnethia Goodman Jackson, NP-C is a Nurse Practitioner in Suffolk, Virginia. Qualified in 1999, 27 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
27
Licensed in
VA
In the registry since
2007
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2760 Godwin Blvd Ste 100
Suffolk, VA 23434-8501
Phone: (757) 983-8650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2050 Hillpoint Blvd N, Suffolk, VA 23434-7181 — (757) 934-3434

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024164290 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001120025 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0017137032 (VA)

Record details

NPI number1124164173
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address2760 Godwin Blvd Ste 100, Suffolk, VA 23434-8501

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Suffolk