Individual provider · Type 1 NPI
Dexteria Rebecca Jenkins, AGNP
Gerontology Nurse Practitioner · Winston Salem, NC
NPI number
1790284214
Active
Practice location
620 N Dunleith Ave
Winston Salem, NC 27101-3374
Mailing address
2671 Dallas Dr
Winston Salem, NC 27107-4446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 211276 (NC) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5023657 (NC) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1790284214
Dexteria Rebecca Jenkins, AGNP's National Provider Identifier is 1790284214, issued on Feb 10, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 22, 2025.