Shoemaker, Jacqueline A

Shoemaker, Jacqueline A is an individual health care provider with primary practice located at 3042 Valley Ave Ste 106 , Winchester VA 22601-2669. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shoemaker, Jacqueline A can be contacted via phone (540) 686-7224.

Contact Information

Primary practice address
3042 Valley Ave Ste 106 Winchester VA 22601-2669
Phone: (540) 686-7224
Fax: (540) 450-8382
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001170503 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024168202 Virginia

Profile Details

NPI number 1194884346
LBN Legal business name Shoemaker, Jacqueline A
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Mar 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194884346 NPPES
Virginia MEDICAID 1194884346

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