Stacey T Shepherd, PA-C
Physician Assistant, Medical in Centreville, VA. Individual provider (NPI-1).
NPI number1679673255
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679673255
- Entity type
- Individual (NPI-1)
- Name
- Stacey T Shepherd
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0110001525 | VA | Yes |
Practice location
5645 Stone RdCentreville, VA 20120-1618
Phone 703-266-2442 · Fax 703-266-7158
Mailing address
6705 Jackpin PlGainesville, VA 20155-4459
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Other Medical Physician Assistant providers in Centreville, VA
- Michelle Burton, PA-CNPI 1245685163
- Eric Jividen, MPAS, PA-CNPI 1134507734
- Gilda Loga, PA-CNPI 1578669610
- Story McDonald, PA-CNPI 1619094158
All 5 Medical Physician Assistant providers in Centreville · All 766 providers in Centreville
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