Individual
MRS. JACQUELINE SASHA SHIRVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-9699
(609) 561-1700
Mailing address
105 COLUMBIA AVE, STRATFORD, NJ 08084-1119
(856) 220-1126
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
26NR26711300
NJ
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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