Jackson, Tyshall Shamick

Jackson, Tyshall Shamick is an sole proprietor health care provider with primary practice located at 900 Dudley Ave , Cherry Hill NJ 08002-4426. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jackson, Tyshall Shamick can be contacted via phone (856) 541-1700.

Contact Information

Primary practice address
900 Dudley Ave Cherry Hill NJ 08002-4426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR10973200 New Jersey

Profile Details

NPI number 1205070208
LBN Legal business name Jackson, Tyshall Shamick
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2009
Last updated Apr 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers