Healthcare Provider Details

I. General information

NPI: 1306552724
Provider Name (Legal Business Name): SHAWNA ALEXANDER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 E EVESHAM RD STE 103
VOORHEES NJ
08043-1557
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-247-7600
  • Fax: 856-247-7575
Mailing address:
  • Phone: 856-247-7600
  • Fax: 856-247-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP026539
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ01427400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: