Melissa Jackson-Shade, RN
Registered Nurse in Westampton, New Jersey
1851945109- Practice location
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone
- 856-881-0399
- Fax
- 856-881-1033
- Last updated
- July 25, 2019
Melissa Jackson-Shade is a Registered Nurse based in Westampton, NJ. Melissa Jackson-Shade practices in Westampton, NJ and has the professional credentials of RN. The NPI Number for Melissa Jackson-Shade is 1851945109 and holds a License No. 26NO12017700 (NJ). The current practice location address for Melissa Jackson-Shade is 770 Woodlane RD, Westampton, NJ 08060-3804 and can be reached out via phone at 856-881-0399 and via fax at 856-881-1033.
Provider Profile Details
- NPI Number
- 1851945109
- Provider Name
- Melissa Jackson-Shade
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone Number
- 856-881-0399
- Fax Number
- 856-881-1033
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 25, 2019
- Last Update Date
- July 25, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- New Jersey
- Zip
- 08060-3804
- Phone Number
- 856-881-0399
- Fax Number
- 856-881-1033
Provider Business Mailing Address Details
- Address
- 801 Tanglewood Dr
Sicklerville, NJ 08081-1161 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-1161
License Information
- License Number
- 26NO12017700
- License State
- NJ
- Taxonomy
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Melissa Jackson-Shade, RN?
The NPI number of Melissa Jackson-Shade, RN is 1851945109. It was assigned on July 25, 2019 and is currently active in the NPPES registry.
What is the specialty of Melissa Jackson-Shade, RN?
Melissa Jackson-Shade, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26NO12017700.
Where does Melissa Jackson-Shade, RN practice?
The practice location is 770 Woodlane RD, Westampton, NJ 08060-3804. The office can be reached at 856-881-0399 (phone) or 856-881-1033 (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 1851945109 directly on the NPPES registry website.