person
Mrs. Jacqueline Laraway, ACNP-BC
Acute Care Nurse Practitioner in Marion, Virginia
NPI 1093749343

Jacqueline Laraway is an Acute Care Nurse Practitioner based in Marion, VA and is specialized in Acute Care. Jacqueline Laraway practices in Marion, VA and has the professional credentials of ACNP-BC. The NPI Number for Jacqueline Laraway is 1093749343 and holds a License No. 0024167734 (Virginia).

The current practice location address for Jacqueline Laraway is 245 Medical Park Dr, Marion, VA and can be reached out via phone at 276-378-1341 and via fax at 276-378-1205.

Location: 245 Medical Park Dr, Marion, VA, 24354-1100
person
Provider Profile Details
NPI Number
1093749343
Provider Name
Jacqueline Laraway
Credential
ACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
245 Medical Park Dr, Marion, VA, 24354-1100
Phone Number
276-378-1341
Fax Number
276-378-1205
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093749343 05 VA
P00681428 01 VA RR MEDICARE
1507124 05 TN
DF7910 01 VA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
245 Medical Park Dr
City
State
Zip
24354-1100
Phone Number
276-378-1341
Fax Number
276-378-1205
person
Provider Business Mailing Address Details
Address
245 Medical Park Dr
City
State
Zip
24354-1100
Phone Number
276-378-1341
Fax Number
276-378-1205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
0024167734 (Virginia)
Definition
Definition to come...
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