Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY T SHEPHERD, PA-C
ActiveSTACEY T SHEPHERD, PA-C is a Medical Physician Assistant healthcare provider located in CENTREVILLE, Virginia. NPI 1679673255 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CENTREVILLE, VA
Registration Details
- NPI Number
- 1679673255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2006 (19.85968704265 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0110001525 (VA)
Practice Information
- Address
-
5645 STONE RDCENTREVILLE, VA, 201201618Browse VA providers · Browse ZIP 20120
- Phone
- 7032662442
- Fax
- 7032667158
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CENTREVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| GILDA LOGA | PA-C | 1578669610 |
| STORY MCDONALD | PA-C | 1619094158 |
| MR. ERIC JIVIDEN | MPAS, PA-C | 1134507734 |
| MISS MICHELLE BURTON | PA-C | 1245685163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.