Individual provider · Type 1 NPI

Stacey T. Shepherd, PA-C

Medical Physician Assistant · Centreville, VA

NPI number 1679673255 Active

Practice location

5645 Stone Rd
Centreville, VA 20120-1618

Fax (703) 266-7158

Mailing address

6705 Jackpin Pl
Gainesville, VA 20155-4459

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0110001525 (VA)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Centreville

See all in Centreville →

About NPI 1679673255

Stacey T. Shepherd, PA-C's National Provider Identifier is 1679673255, issued on Sep 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Centreville, VA. The record was last updated on Jul 8, 2007.