Individual
MRS. JACQUELINE A SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
3042 VALLEY AVE STE 106, WINCHESTER, VA 22601-2669
(540) 686-7224
(540) 450-8382
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(154) 053-6510
(540) 450-8382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001170503
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194884346
—
VA
Enumeration date
12/06/2006
Last updated
03/08/2021
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