Individual
MRS. ASHLYNE NICKY MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 VALLEY ST STE 320, SOUTH ORANGE, NJ 07079-2881
(973) 313-1113
Mailing address
486 N MAPLE AVE APT 1, APT2, EAST ORANGE, NJ 07017-4619
(570) 618-4520
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
26NJ15413800
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15413800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15413800
NJ
Other
Enumeration date
09/13/2025
Last updated
06/19/2026
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