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MRS. JACQUELINE FAITH SHROADES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
190 CAMPUS BLVD STE 400, WINCHESTER, VA 22601-2872
(540) 667-1727
Mailing address
190 CAMPUS BLVD STE 400, WINCHESTER, VA 22601-2872
(540) 667-1727

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001196726
VA
163W00000X
Registered Nurse
72420
WV
363LF0000X
Family Nurse Practitioner
Primary
110249
WV

Other

Enumeration date
06/12/2012
Last updated
10/01/2021
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