Mrs Tyshall Shamick Jackson, RN - Registered Nurse in Cherry Hill, NJ

Mrs Tyshall Shamick Jackson, RN is a Registered Nurse based in Cherry Hill, New Jersey. Mrs Tyshall Shamick Jackson is licensed to practice in New Jersey (license number 26NR10973200) and her current practice location is 900 Dudley Ave, Cherry Hill, New Jersey. She can be reached at her office (for appointments etc.) via phone at (856) 541-1700.

NPI number for Mrs Tyshall Shamick Jackson is 1205070208 and her current mailing address is 5308 Halpin Ave, Pennsauken, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205070208.

Contact Information

Mrs Tyshall Shamick Jackson, RN
900 Dudley Ave,
Cherry Hill, NJ 08002-4426
(856) 541-1700
Not Available



Provider's Profile

Full NameMrs Tyshall Shamick Jackson
GenderFemale
SpecialityRegistered Nurse
Location900 Dudley Ave, Cherry Hill, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205070208
  • Provider Enumeration Date: 04/22/2009
  • Last Update Date: 04/22/2009

Medical Identifiers

Medical identifiers for Mrs Tyshall Shamick Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205070208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR10973200 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tyshall Shamick Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tyshall Shamick Jackson, RN
5308 Halpin Ave,
Pennsauken, NJ 08109-1132

Ph: (856) 397-7626
Mrs Tyshall Shamick Jackson, RN
900 Dudley Ave,
Cherry Hill, NJ 08002-4426

Ph: (856) 541-1700

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› Verified 7 days ago


Registered Nurse Nurses in Cherry Hill, NJ

Chanel Lee Dorsey, APN
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1 Brace Rd Ste C1, Cherry Hill, NJ 08034
Phone: 856-428-4100    Fax: 856-428-5748
Mr. Mark J Dariano,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 220 Chapel Ave West, Khs, Cherry Hill, NJ 08002
Phone: 856-488-6832    
Mrs. Amber Grace Kane, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 57 Haddonfield Rd Ste 120, Cherry Hill, NJ 08002
Phone: 856-566-6200    
Ernst Renondeau, APN
Registered Nurse
Medicare: May Accept Medicare Assignments
Practice Location: 2 Split Rock Dr Ste 5, Cherry Hill, NJ 08003
Phone: 833-494-6724    
Lan Santos,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 315 Route 70 E Ste B, Cherry Hill, NJ 08034
Phone: 856-375-6240    Fax: 856-375-6241
Jaime Catindig Paz, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 19 E Ormond Ave, Cherry Hill, NJ 08034
Phone: 856-428-4357    
Mrs. Sheila C Lassiter, RN APN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 19 E Ormond Ave, Cherry Hill, NJ 08034
Phone: 856-428-1300    

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