Individual
ERICA SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
540 FORT EVANS RD STE 204, LEESBURG, VA 20176-3379
(703) 737-3500
(703) 737-3550
Mailing address
540 FORT EVANS RD STE 204, LEESBURG, VA 20176-3379
(703) 737-3500
(703) 737-3550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176969
VA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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