Individual
MRS. SUSAN LOUISE ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN-C
Contact information
Practice address
63 N LAKEVIEW DR STE 202, GIBBSBORO, NJ 08026-1026
(856) 435-6000
Mailing address
63 N LAKEVIEW DR STE 202, GIBBSBORO, NJ 08026-1026
(856) 435-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN09155900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273619
—
NJ
Enumeration date
04/03/2007
Last updated
08/31/2012
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