Ackley, Susan Louise

Ackley, Susan Louise is an individual health care provider with primary practice located at 63 N Lakeview Dr Ste 202 , Gibbsboro NJ 08026-1026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ackley, Susan Louise can be contacted via phone (856) 435-6000.

Contact Information

Primary practice address
63 N Lakeview Dr Ste 202 Gibbsboro NJ 08026-1026
Phone: (856) 435-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NN09155900 New Jersey

Profile Details

NPI number 1952422347
LBN Legal business name Ackley, Susan Louise
Credentials RN, APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952422347 NPPES
New Jersey MEDICAID 0273619

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