Provider Demographics
NPI:1306552724
Name:ALEXANDER, SHAWNA (WHNP)
Entity type:Individual
Prefix:MISS
First Name:SHAWNA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-247-7600
Mailing Address - Fax:856-247-7575
Practice Address - Street 1:2225 E EVESHAM RD STE 103
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1557
Practice Address - Country:US
Practice Address - Phone:856-247-7600
Practice Address - Fax:856-247-7575
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026539363LW0102X
NJ26NJ01427400363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health