MRS. DORIAN D'SHAN JACKSON MSN APN-C NPI 1003098633

NPI Information

  • NPI: 1003098633
  • Provider Name: MRS. DORIAN D'SHAN JACKSON, MSN, APN-C
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1010 HADDONFIELD BERLIN RD STE 400
    VOORHEES, NJ
    ZIP 08043
  • Phone: (856) 435-7007

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NPI Details

MRS. Dorian D'shan Jackson, MSN, APN-C is a women's health nurse practitioner in Voorhees, NJ with 22 years of experience. MRS. Dorian D'shan Jackson, MSN, APN-C NPI is 1003098633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 HADDONFIELD BERLIN RD STE 400
VOORHEES, NJ
ZIP 08043-514
Phone: (856) 435-7007
Fax: (856) 435-4372

The NPI 1003098633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 9/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NO12442500NEW JERSEYNo
2363LX0001XNurse PractitionerObstetrics & Gynecology26NJ00070500NEW JERSEYNo
3363LW0102XNurse PractitionerWomen's Health26NJ00070500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10226254MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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