Mrs. Jacqueline Laraway, ACNP-BC
Mrs. Jacqueline Laraway, ACNP-BC is a Nurse Practitioner in Marion, Virginia. Qualified in 1996, 30 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Alabama, Tennessee and Virginia.
- Years since qualifying
- 30
- Licensed in
- AL, TN, VA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
245 Medical Park Dr First FlMarion, VA 24354-1100
Phone: (276) 378-1341
Fax: (276) 378-1205
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 0024167734 (VA) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 13443 (TN) |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 3-002978 (AL) |
Record details
| NPI number | 1093749343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ACNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 11, 2006 |
| Last updated in NPPES | June 28, 2026 |
| Certification date | June 28, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Southeastern Intensivist Services Pc — 237 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |