Individual
JACQUELINE BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, PMHNP-BC
Contact information
Practice address
3751 NINE MILE RD, RICHMOND, VA 23223-4830
(804) 492-7263
(804) 220-5253
Mailing address
14321 WINTER BREEZE DR STE 67, MIDLOTHIAN, VA 23113-2452
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175120
VA
363L00000X
Nurse Practitioner
SP013564
PA
363LA2100X
Acute Care Nurse Practitioner
0024175120
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175120
VA
Other
Enumeration date
01/15/2014
Last updated
01/21/2026
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