Nurisha Shavon Jack, CNM - Advanced Practice Midwife in Bowie, MD

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Nurisha Shavon Jack, CNM is a Advanced Practice Midwife based in Bowie, Maryland. Nurisha Shavon Jack is licensed to practice in Virginia (license number 0024177805) and her current practice location is 3903 Woodhaven Ln, Bowie, Maryland. She can be reached at her office (for appointments etc.) via phone at (202) 380-6880.

NPI number for Nurisha Shavon Jack is 1306338363 and her current mailing address is 3903 Woodhaven Ln, Bowie, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306338363.

Contact Information

Nurisha Shavon Jack, CNM
3903 Woodhaven Ln,
Bowie, MD 20715-1276
(202) 380-6880
Not Available

Map and Direction




Provider's Profile

Full NameNurisha Shavon Jack
GenderFemale
SpecialityAdvanced Practice Midwife
Location3903 Woodhaven Ln, Bowie, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306338363
  • Provider Enumeration Date: 06/05/2018
  • Last Update Date: 07/01/2026

Medical Identifiers

Medical identifiers for Nurisha Shavon Jack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306338363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 0024177805 (Virginia)Primary
176B00000XMidwife R191018 (Maryland)Secondary

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. Nurisha Shavon Jack 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
Nurisha Shavon Jack, CNM
3903 Woodhaven Ln,
Bowie, MD 20715-1276

Ph: (202) 380-6880		Nurisha Shavon Jack, CNM
3903 Woodhaven Ln,
Bowie, MD 20715-1276

Ph: (202) 380-6880

Reviews and Comments


Advanced Practice Midwife Nurses in Bowie, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.