Individual
ASHLEE PAKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
26 HIGHWAY 35 N, NEPTUNE, NJ 07753-4743
(732) 456-7777
(848) 251-2189
Mailing address
1580 LAKEWOOD RD STE 16, TOMS RIVER, NJ 08755-3287
(732) 456-7777
(848) 251-2189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00538800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00538800
MEDICAL LICENSE
NJ
Enumeration date
08/20/2019
Last updated
08/04/2021
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