Jackson, Dorian D'Shan

Jackson, Dorian D'Shan is an individual health care provider with primary practice located at 1010 Haddonfield Berlin Rd Ste 400 , Voorhees NJ 08043-3514. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Jackson, Dorian D'Shan can be contacted via phone (856) 435-7007.

Contact Information

Primary practice address
1010 Haddonfield Berlin Rd Ste 400 Voorhees NJ 08043-3514
Phone: (856) 435-7007
Fax: (856) 435-4372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NO12442500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 26NJ00070500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NJ00070500 New Jersey

Profile Details

NPI number 1003098633
LBN Legal business name Jackson, Dorian D'Shan
Credentials MSN, APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Sep 25th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003098633 NPPES
New Jersey MEDICAID 0226254

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