| NPI | 1003098633 |
|---|---|
| Other Name | DORIAN D'SHAN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00070500) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12442500) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00070500) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2024-09-25 |