Dexteria Rebecca Jenkins, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5023657 Issued in NC

Practice address

620 N Dunleith Ave
Winston Salem, NC 27101-3374

Phone

(336) 225-1079

NPI assigned

Feb 10, 2018

Last updated

Dec 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Divinity Health & Wellness PLLC

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1992397715
  NPD Authorized official
• Divinity Wellness Center PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1235845082

  Registered Nurse

  NPD Authorized official

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1790284214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 DALLAS DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271074446",
            "telephone_number": "336-225-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N DUNLEITH AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013374",
            "telephone_number": "336-225-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DEXTERIA",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5023657",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "211276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey J. Tibbs, DDS, PA
• Calvert Jeffries, PHARMD
• Sonya D H Jeffries, NP, CDE
• Tamara L Jenison Williams, OD
• Brandon Jenkins, DMD
• Jaime Jeyuson Jenkins, MD
• Jassmine Jenkins
• Jessi Renee Jenkins
• Johna Jenkins, F.N.P.
• Kaleigh Iris Jenkins, PT, DPT, LAT, ATC

• Gerontology Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.