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

Tyesha Brookes Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1194480962

Tyesha Brookes Jackson, NP is a Nurse Practitioner in High Point, North Carolina. Qualified in 2019, 7 years ago. Practices with Wake Forest Health Network LLC, a 271-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

905 Phillips Ave
High Point, NC 27262-7075
Phone: (368) 022-0403
Fax: (336) 802-2041
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015370 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5015370 (NC)

Record details

NPI number1194480962
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 5, 2021
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022
Mailing address100 Kimel Forest Dr, Winston Salem, NC 27103-6074

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 Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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