MRS. TYSHALL SHAMICK JACKSON (NPI# 1205070208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205070208 |
| Entity Type | Individual |
| Full Name | MRS. TYSHALL SHAMICK JACKSON |
| Other Name | MISS TYSHALL SHAMICK SMITH |
| Credential | RN |
| Practice Address |
900 Dudley Ave Cherry Hill NJ 08002-4426 |
| Mailing Address |
5308 Halpin Ave Pennsauken NJ 08109-1132 |
| Practice Telephone | 8565411700 |
| Mailing Telephone | 8563977626 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 26NR10973200 | NJ | Nursing Service Providers |
| Street Address |
900 DUDLEY AVE |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08002-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821205444 | Theresa C Wilson | Social Worker | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2007-05-16 |
| 1669735239 | Kimberly Miller | Counselor | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2012-06-19 |
| 1245596709 | Michelle A Newkirk | Licensed Practical Nurse | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2012-04-09 |
| 1427339266 | Donna Woodhull | Registered Nurse | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2011-09-07 |
| 1740568310 | Kathleen Nuzzie | Licensed Practical Nurse | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2011-07-29 |
| 1669776332 | Tamika A Gibson | Registered Nurse | 900 Dudley Ave, Cherry Hill, NJ 08005 | 2011-01-10 |
| 1093959009 | Charlene Smith Babin | Licensed Practical Nurse | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2009-04-22 |
| 1568648327 | Barbara Curtis | Counselor | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2008-01-11 |
| 1205012069 | Dena Michelle Smolar | Counselor | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878547 | Rachel J Crutchley | Behavioral Analyst | 923 Haddonfield Road Suite 300, Cherry Hill, NJ 08002 | 2020-10-13 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1104483825 | Advocare, LLC | Specialist | 600 West Marlton Pike, Suite C, Cherry Hill, NJ 08002 | 2019-05-29 |
| 1881155299 | Tyesha Thomas | Counselor | 57 Colwick Drive, Suite 120, Cherry Hill, NJ 08002 | 2019-03-28 |
| 1982184479 | Brian Keith Smalls Jr. | Early Intervention Provider Agency | 1701 Bishop View Circle, Cherry Hill, NJ 08002 | 2018-08-15 |
| 1124510094 | Salvatore Montana Messina | Student in an Organized Health Care Education/Training Program | 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002 | 2018-06-05 |
| 1871010397 | Jocelyn Lea Daigle | Counselor | 2201 Chapel Avenue W, Cherry Hill, NJ 08002 | 2017-08-25 |
| 1225559495 | Kennedy Medical Group Practice P.C. | Dietitian, Registered | 2211 Chapel Avenue West, Suite 301, Cherry Hill, NJ 08002 | 2017-06-28 |
| 1245750926 | Casey Rich | Behavioral Analyst | 923 Haddonfield Rd Ste 300, Cherry Hill, NJ 08002 | 2017-06-22 |
| 1790211514 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Nevada Ave, Cherry Hill, NJ 08002 | 2017-05-11 |
| Find all providers in zip 08002 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1134664717 | Purvesh D Patel | Registered Nurse | 101 Columbia Blvd, Cherry Hill, NJ 08002-1111 | 2017-01-05 |
| 1841532306 | Rosenda Guinto | Registered Nurse | 327 Woodland Ave, Cherry Hill, NJ 08002-2263 | 2013-03-22 |
| 1740541069 | Verna Nicole Bennett | Registered Nurse | 57 Haddonfield Rd Ste 120, Cherry Hill, NJ 08002-4813 | 2012-06-04 |
| 1104062256 | Mark J Dariano | Registered Nurse | 220 Chapel Ave West, Khs, Cherry Hill, NJ 08002 | 2008-12-19 |
| 1184897696 | Barbara R Osborne | Registered Nurse | 500 Kings Hwy North, Suite 100, Cherry Hill, NJ 08034 | 2008-04-04 |
| 1710041496 | Stephen Neff | Registered Nurse | 1930 Marlton Pike East, Suite Q-12, Cherry Hill, NJ 08003 | 2006-12-20 |
| 1396344818 | Suzanne Bracchi | Registered Nurse | 2250 Chapel Ave W Ste 120, Cherry Hill, NJ 08002-2051 | 2020-10-26 |
| 1376107839 | Nicole Marie Kordziel | Registered Nurse | 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 | 2019-04-30 |
| 1114431103 | Amber Grace Kane | Registered Nurse | 57 Haddonfield Rd Ste 120, Cherry Hill, NJ 08002-4813 | 2017-11-29 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08002 |
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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.