Tyshall Shamick Jackson RN

NPI 1205070208 - Registered Nurse - 163W00000X

NPI Details
NPI 1205070208
Gender Female
Enumeration Date 04/22/2009
Last Updated 04/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
900 DUDLEY AVE
CHERRY HILL NJ, 08002-4426, US
Phone (856) 541-1700
Fax
Business Location
5308 HALPIN AVE
PENNSAUKEN NJ, 08109-1132, US
Phone (856) 397-7626
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New Jersey
License Number 26NR10973200
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According to our database, Mrs. Tyshall Shamick Jackson RN NPI is 1205070208, taxonomy code is 163W00000X and license number is 26NR10973200, license state is located at New Jersey. Tyshall Shamick Jackson RN physically located at 900 Dudley Ave, Cherry Hill NJ, 08002-4426. NPI Number Tyshall Shamick Jackson RN has the Individual type.

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1205070208 NPI number is provided on an as is basis without warranty of any kind. 1205070208 is maintained by the National Plan & Provider Enumeration System. The contents of Tyshall Shamick Jackson RN are for informational purposes only.