Webb, Jacqueline L

Webb, Jacqueline L is an individual health care provider with primary practice located at 14558 Danville Pike , Laurel Fork VA 24352-3982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Webb, Jacqueline L can be contacted via phone (276) 398-2292.

Contact Information

Primary practice address
14558 Danville Pike Laurel Fork VA 24352-3982
Phone: (276) 398-2292
Fax: (273) 398-3331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024134336 Virginia

Profile Details

NPI number 1457355299
LBN Legal business name Webb, Jacqueline L
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 27th, 2024 - about 2 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 1457355299 NPPES
Virginia MEDICAID 007608942

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