Mr Shawn Jermaine Smalls, NURSE | |
2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | |
(302) 998-0469 | |
Not Available |
Full Name | Mr Shawn Jermaine Smalls |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 2250 Hickory Rd, Plymouth Meeting, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285995118 | NPI | - | NPPES |
164W00000X | Other | DE | INDIVIDUAL PROVIDER |
164W00000X | Other | PA | INDIVIDUAL PROVIDER |
164W00000X | Other | MD | INDIVIDUAL PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | L2-0010853 (Delaware) | Primary |
164W00000X | Licensed Practical Nurse | PN278828 (Pennsylvania) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Jermaine Smalls, NURSE 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 Ph: (610) 888-0588 | Mr Shawn Jermaine Smalls, NURSE 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 Ph: (302) 998-0469 |
Tracey Ashman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 Fax: 610-825-1604 | |
Christal Rice, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 Fax: 610-834-7525 | |
Nicholas Waiganjo, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 | |
Tina Tartaglione, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 610-834-1122 Fax: 610-834-7525 | |
Lisa Royce, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Plymouth Meeting, PA 19462 Phone: 610-834-1122 | |
Sonji Dunlap, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 Phone: 800-879-4471 | |
Mary Klinger, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2250 Hickory Rd, Plymouth Meeting, PA 19462 Phone: 610-834-1122 |