Individual
JENNIFER SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Mailing address
9842 WESTOVER HILLS BLVD STE 115, SAN ANTONIO, TX 78251-4404
(757) 876-4770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006744
VA
Other
Enumeration date
03/28/2019
Last updated
01/30/2024
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