Mrs Susan Louise Ackley, RN, APN-C | |
63 N Lakeview Dr Ste 202, Gibbsboro, NJ 08026-1026 | |
(856) 435-6000 | |
Not Available |
Full Name | Mrs Susan Louise Ackley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 63 N Lakeview Dr Ste 202, Gibbsboro, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952422347 | NPI | - | NPPES |
0273619 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NN09155900 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Louise Ackley, RN, APN-C 63 N Lakeview Dr Ste 202, Gibbsboro, NJ 08026-1026 Ph: (856) 435-6000 | Mrs Susan Louise Ackley, RN, APN-C 63 N Lakeview Dr Ste 202, Gibbsboro, NJ 08026-1026 Ph: (856) 435-6000 |
Christine Michelle Kember, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026 Phone: 856-435-6000 | |
Risha James Hertz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 N Lakeview Dr, Bldg. B, Ste. 201, Gibbsboro, NJ 08026 Phone: 856-783-1777 | |
Ms. Susan J Blumenfeld, RNCPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Haddonfield Berlin Rd, Suite 105, Gibbsboro, NJ 08026 Phone: 856-346-0005 Fax: 856-784-1799 |