Individual provider · Type 1 NPI

Tyreshia Hailstork

Licensed Vocational Nurse · Piscataway, NJ

NPI number 1013872167 Active

Practice location

PO Box 8002
Piscataway, NJ 08855-8001

Mailing address

180 Talmadge Rd Unit 451
Edison, NJ 08817-2860

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X26NP49599300 (NJ)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

About NPI 1013872167

Tyreshia Hailstork's National Provider Identifier is 1013872167, issued on Dec 22, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Piscataway, NJ. The record was last updated on Dec 22, 2025.