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

Map and Direction




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

Reviews and Comments


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