Healthcare Provider Details

I. General information

NPI: 1164879987
Provider Name (Legal Business Name): ASHLEY FERRIS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2016
Last Update Date: 02/06/2020
Certification Date: 02/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 LIVINGSTON ST
TURNERSVILLE NJ
08012-1348
US

IV. Provider business mailing address

900 MEDICAL CENTER DR STE 205
SEWELL NJ
08080-2358
US

V. Phone/Fax

Practice location:
  • Phone: 856-371-4246
  • Fax:
Mailing address:
  • Phone: 856-557-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00635200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: