Jennah-Li Eulalia Jackson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14370 Issued in NC

Practice address

6 Professional Dr
Snow Hill, NC 28580-1333

Phone

(252) 747-8162

Fax

(252) 747-8163

NPI assigned

Apr 28, 2025

Last updated

Sep 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Univ of Pittsburgh School of Dental Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greene County Health Care Incorporated

  dba Contentnea Health Greene

  • Federally Qualified Health Center (FQHC)
  • Snow Hill, NC
  • NPI 1891798054
  Medicare reassignment NPD
• Greene County Health Care Incorporated

  dba Contentnea Health Bernstein

  • Federally Qualified Health Center (FQHC)
  • Greenville, NC
  • NPI 1194811026
  NPD
• Greene County Health Care Incorporated Dba Contentnea Health

  dba Contentnea Health JH Rose

  • Federally Qualified Health Center (FQHC)
  • Greenville, NC
  • NPI 1760220123
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1205624327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801332",
            "telephone_number": "412-485-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PROFESSIONAL DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801333",
            "telephone_number": "252-747-8162",
            "fax_number": "252-747-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNAH-LI",
        "middle_name": "EULALIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Family Health and Wellness PA
• Hope Medical Care
• Chelsea Brynn Hurley, NP
• Badr Mostafa Ibrahim, RPH
• Anna Lorraine Imhoff, M.D.
• Bonita B Jenkins, MSW, LCSWA
• Nicole Fox Jennette, OTR/L
• Kristen Fischer Jilg, D.M.D.
• Ashley Paige Johnson, LMFT
• Thelma R Johnson

• General Practice Dentistry in Snow Hill, NC
• Providers in Snow Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.