Tashem Jackson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

PN283903 Issued in PA

Practice address

4949 Liberty LN
Suite210
Allentown, PA 18106-9014

Phone

(484) 560-6600

NPI assigned

Mar 22, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1255862249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN",
            "address_2": "SUITE210",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN",
            "address_2": "SUITE210",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069014",
            "telephone_number": "484-560-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TASHEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "PN283903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102888687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fieruz Yousif Jabir, PA-C
• Benjamin Jack, M.D.
• Benjamin Materi Jackson, MD
• Frank James Jackson Jr., P.A-C., A.T.C.
• Rachel M Jackson
• Dominique Jacobs, DO
• Larry E Jacobs, MD
• Emily Rose Jacobson, PA-C
• Paula Ann Jacobus, M.D.
• Jeanne Jacoby, MD

• Registered Nurse in Allentown, PA
• Providers in Allentown, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.