Healthcare Provider Details

I. General information

NPI: 1831026244
Provider Name (Legal Business Name): ASHLEY SHIPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 W SHERMAN AVE STE B
VINELAND NJ
08360-7059
US

IV. Provider business mailing address

163 BRIDGETON PIKE
MULLICA HILL NJ
08062-2669
US

V. Phone/Fax

Practice location:
  • Phone: 856-641-9635
  • Fax:
Mailing address:
  • Phone: 856-507-2783
  • Fax: 856-221-4138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15474500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: