| Doctor Name: | JACQUELINE L WEBB |
| NPI Number: | 1457355299 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | 0024134336 |
| Business Practice Address: | 14559 Danville Pike Laurel Fork, VA - 243523758 |
| Business Phone Number: | 2763982292 |
| Business Fax Number: | 2733983331 |
| Mailing Address: | 14559 Danville Pike, LAUREL FORK |
| State: | VA |
| Postal Code: | 243523758 |
| Phone Number: | 2763982292 |
| Fax Number: | 2733983331 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 0024134336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |