Individual
MRS. JACQUELINE SMELGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12997 WARWICK BLVD, NEWPORT NEWS, VA 23602-8352
(757) 369-9446
Mailing address
106 CROATAN CT, SMITHFIELD, VA 23430-5861
(757) 771-5967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008772
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2022
Last updated
02/24/2023
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