Active NPIIndividual provider

Mrs. Dorian D Jackson, MSN, APN-C

Nurse Practitioner, Women's Health in Voorhees, New Jersey

NPI Number1003098633
Practice location
1010 Haddonfield Berlin RD Ste 400, Voorhees, NJ 08043-3514
Fax
856-435-4372
Last updated
September 25, 2024

Dorian D'Shan Jackson is a Nurse Practitioner, Women's Health based in Voorhees, NJ. Dorian D'Shan Jackson practices in Voorhees, NJ and has the professional credentials of MSN, APN-C. The NPI Number for Dorian D'Shan Jackson is 1003098633 and holds a License No. 26NO12442500 (NJ). The current practice location address for Dorian D'Shan Jackson is 1010 Haddonfield Berlin RD Ste 400, Voorhees, NJ 08043-3514 and can be reached out via phone at 856-435-7007 and via fax at 856-435-4372.

Provider Profile Details

NPI Number
1003098633
Provider Name
Dorian D'Shan Jackson
Credential
MSN, APN-C
Provider Entity Type
Individual
Gender
Female
Address
1010 Haddonfield Berlin RD Ste 400, Voorhees, NJ 08043-3514
Phone Number
856-435-7007
Fax Number
856-435-4372
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
No
Other Names
Mrs. Dorian D'Shan Jackson, MSN, APN-C (Other Name)
Provider Enumeration Date
December 5, 2007
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1010 Haddonfield Berlin RD Ste 400
Voorhees, NJ 08043-3514
Zip
08043-3514
Phone Number
856-435-7007
Fax Number
856-435-4372
Voorhees, NJ 08043Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Drive Suite 410
New York, NY 10087-0001
City
New York
State
NY
Zip
10087-0001
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number (1)
26NO12442500
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00070500
License State (2)
NJ
License Number (3)
26NJ00070500
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Women's Health · 363LW0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Dorian D Jackson, MSN, APN-C?

The NPI number of Mrs. Dorian D Jackson, MSN, APN-C is 1003098633. It was assigned on December 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Dorian D Jackson, MSN, APN-C?

Mrs. Dorian D Jackson, MSN, APN-C is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in NJ under license number 26NO12442500.

Where does Mrs. Dorian D Jackson, MSN, APN-C practice?

The practice location is 1010 Haddonfield Berlin RD Ste 400, Voorhees, NJ 08043-3514. The office can be reached at 856-435-7007 (phone) or 856-435-4372 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003098633 directly on the NPPES registry website.

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