MRS. DORIAN D'SHAN JACKSON (NPI# 1003098633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003098633 |
| Entity Type | Individual |
| Full Name | MRS. DORIAN D'SHAN JACKSON |
| Other Name | MRS. DORIAN D'SHAN JACKSON |
| Credential | MSN, APN-C |
| Practice Address |
817 Federal St Camden NJ 08103-1539 |
| Mailing Address |
817 Federal St Suite 300 Camden NJ 08103-1539 |
| Practice Telephone | 8565412229 |
| Practice Fax Number | 8569640597 |
| Mailing Telephone | 8565415933 |
| Mailing Fax Number | 8565413340 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NO12442500 | NJ | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
26NJ00070500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0226254 | 05 |
| Street Address |
817 FEDERAL ST |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429359 | Juris M Svarcbergs | Dentist | 817 Federal St, Camcare Health Corp. Suite 202, Camden, NJ 08103-1539 | 2005-12-29 |
| 1558869552 | Ella Murphy | Social Worker | 817 Federal St, Camden, NJ 08103-1539 | 2018-01-25 |
| 1376055426 | Alysia Peters | Social Worker | 817 Federal St, Camden, NJ 08103-1539 | 2017-10-30 |
| 1144762956 | Carolyn Geibler | Dietitian, Registered | 817 Federal St, Camden, NJ 08103-1539 | 2016-11-10 |
| 1013376904 | Anukriti Gupta | Dentist | 817 Federal St, Camden, NJ 08103-1539 | 2016-02-19 |
| 1336551456 | Genean Marie Doyle | Nurse Practitioner | 817 Federal St, Camden, NJ 08103 | 2014-05-22 |
| 1619316213 | Jessica Carol Pescatore | Obstetrics & Gynecology | 817 Federal St, Camden, NJ 08103-1539 | 2013-06-18 |
| 1285078600 | Marangely Diaz | Nurse Practitioner | 817 Federal St, Camden, NJ 08103-1539 | 2013-04-29 |
| 1548510605 | Andrea J. Harmony | Nurse Practitioner | 817 Federal St, Suite 300, Camden, NJ 08103-1539 | 2012-09-17 |
| 1629335906 | Jacqueline Hall Cooper | Nurse Practitioner | 817 Federal St, Suite 300, Camden, NJ 08103-1539 | 2012-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952844847 | Erica Tsakiris | Nurse Practitioner | 317 S Broadway, Camden, NJ 08103 | 2016-11-23 |
| 1194856658 | Karen Lynn Kramer | Nurse Practitioner | 326 Penn St, 2nd Floor, Rutgers University Health Service, Camden, NJ 08102-1410 | 2007-03-08 |
| 1659467017 | Frances Catherine Doria | Nurse Practitioner | 3 Cooper Plz Rm 104, Camden, NJ 08103 | 2006-10-05 |
| 1497858351 | Tobi Faith Smolensky | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-09-06 |
| 1912009135 | Antoinette Falconi-mccahill | Nurse Practitioner | 817 Federal Street, Camden, NJ 08103 | 2006-09-01 |
| 1699785220 | Cheryl Lynn Felt | Nurse Practitioner | 317 Broadway, Camden, NJ 08103 | 2006-08-08 |
| 1366452971 | Fannie Grace Bolden | Nurse Practitioner | 317 Broadway, Camden, NJ 08013 | 2006-08-08 |
| 1821008459 | Sarah Jane Paskman | Nurse Practitioner | 317 Broadway, Camden, NJ 08103 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316725 | Lynda Nolan | Nurse Practitioner | 24 Dogwood Dr, Whitehouse Station, NJ 08889-3374 | 2020-05-01 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1326358862 | Edith T Meier | Nurse Practitioner | 80 Eisenhower Drive, Suite 200, Paramus, NJ 07652 | 2010-10-18 |
| 1114231578 | Susan Righter Grimes | Nurse Practitioner | 7g Heritage Dr, Chatham, NJ 07928-2966 | 2010-07-27 |
| 1285897215 | Melissa E Sorey | Nurse Practitioner | 1805 Route 206 # 111213, Southampton, NJ 08088-3558 | 2008-07-09 |
| 1033302757 | Deborah Lee Saltmarsh | Nurse Practitioner | 224 Ocean St, Beach Haven, NJ 08008-1628 | 2007-08-27 |
| 1801096607 | Jill Elizabeth Chisholm | Nurse Practitioner | 75 Claremont Rd Ste 308, Bernardsville, NJ 07924-2271 | 2007-07-19 |
| 1982629432 | Terri Fuller | Nurse Practitioner | 694 Rt 15 S. Plaza, Suite 105, Lake Hopatcong, NJ 07849 | 2006-07-13 |
| 1326013434 | Mary Yori | Nurse Practitioner | 399 Liberty Ave, Jersey City, NJ 07307-4101 | 2006-02-22 |
| 1023554003 | Monique Erika Schneider | Nurse Practitioner | 222 Oak Ave, Third Floor, Toms River, NJ 08753-3348 | 2017-01-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.