Dr JACQUELINE L LARAWAY NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1996.
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
16000 JOHNSTON MEMORIAL DR
SUITE 4
ABINGDON
VA
242117664
Tel: 2762584050
| Npi | 1093749343 |
| Pac Id | 0143224238 |
| Professional Enrollment Id | I20080721000645 |
| Last Name | LARAWAY |
| First Name | JACQUELINE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Group Practice Pac Id | 9739099441 |
| Number Of Group Practice Members | 340 |
| Line 1 Street Address | 16000 JOHNSTON MEMORIAL DR |
| Line 2 Street Address | SUITE 4 |
| Marker Of Address Line 2 Suppression | |
| City | ABINGDON |
| State | VA |
| Zip Code | 242117664 |
| Phone Number | 2762584050 |
| Hospital Affiliation Ccn 1 | 490038 |
| Hospital Affiliation Lbn 1 | SMYTH COUNTY COMMUNITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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