person
Stacey T Shepherd, PA-C
Medical Physician Assistant in Centreville, Virginia
NPI 1679673255

Stacey T Shepherd is a Medical Physician Assistant based in Gainesville, VA and is specialized in Medical. Stacey T Shepherd practices in Centreville, VA and has the professional credentials of PA-C. The NPI Number for Stacey T Shepherd is 1679673255 and holds a License No. 0110001525 (Virginia).

The current practice location address for Stacey T Shepherd is 5645 Stone Rd, Centreville, VA and can be reached out via phone at 703-266-2442 and via fax at 703-266-7158.

Location: 5645 Stone Rd, Centreville, VA, 20155-4459
person
Provider Profile Details
NPI Number
1679673255
Provider Name
Stacey T Shepherd
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5645 Stone Rd, Centreville, VA, 20155-4459
Phone Number
703-266-2442
Fax Number
703-266-7158
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5645 Stone Rd
City
State
Zip
20120-1618
Phone Number
703-266-2442
Fax Number
703-266-7158
person
Provider Business Mailing Address Details
Address
5645 Stone Rd
City
State
Zip
20120-1618
Phone Number
703-266-2442
Fax Number
703-266-7158
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110001525 (Virginia)
Definition
Definition to come...
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