Healthcare Provider Details

I. General information

NPI: 1215705397
Provider Name (Legal Business Name): ASHLEY MARIE SHEMANSKY APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP NJ
08648-2526
US

IV. Provider business mailing address

123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE NJ
08648-2526
US

V. Phone/Fax

Practice location:
  • Phone: 609-537-7200
  • Fax: 609-896-3986
Mailing address:
  • Phone: 609-537-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR23138400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14982000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: