Individual
MRS. HEATHER REAY JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 SECURITY DRIVE, BLDG 3, WINCHESTER, VA 22602-4672
(540) 722-1600
(540) 722-1404
Mailing address
141 SECURITY DRIVE, BLDG 3, WINCHESTER, VA 22602-4672
(540) 722-1600
(540) 722-1404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055718000
—
WV
01
—
9930421
MEDICARE GROUP
WV
01
—
C10269
RAILROAD MEDICARE GROUP
WV
Enumeration date
02/11/2009
Last updated
01/27/2026
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