Provider Demographics
NPI:1710866546
Name:SHAFFERY, SHIRLEY M (BSN)
Entity type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:M
Last Name:SHAFFERY
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:M
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:218 HAWTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-5642
Mailing Address - Country:US
Mailing Address - Phone:609-661-3382
Mailing Address - Fax:
Practice Address - Street 1:279 MATHISTOWN RD
Practice Address - Street 2:
Practice Address - City:LITTLE EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08087-4021
Practice Address - Country:US
Practice Address - Phone:609-296-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR24969300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse