# SHENANDOAH PAIN AND PALLIATIVE CARE CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659919017
- **Authorized official:** TABITHA GARRISON NP (OWNER)
- **Authorized official phone:** (540) 901-7028

## Contact information

- **Practice address:** 173 E SPRINGBROOK RD, BROADWAY, VA 22815-9526
- **Practice address phone:** (540) 901-7028
- **Practice address fax:** (540) 901-2599
- **Mailing address:** 173 E SPRINGBROOK RD, BROADWAY, VA 22815-9526
- **Mailing address phone:** (540) 901-7028
- **Mailing address fax:** (540) 901-2599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2019
- **Last updated:** 05/13/2025