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

Teniola Yetunde Jackson

Individual provider Primary Care Nurse Practitioner · NPI 1295536159

Teniola Yetunde Jackson is a Nurse Practitioner in Houston, Texas. Qualified in 2024, 2 years ago. Practices with Pristine Ob-Gyn Care PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

13523 Hargrave Rd Ste 100
Houston, TX 77070-3829
Phone: (346) 654-3463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26717 Westheimer Pwky, Katy, TX 77494 — (832) 838-4031

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1193049 (TX)

Record details

NPI number1295536159
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pristine Ob-Gyn Care Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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