Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey T Shepherd, PA-C

Individual provider Medical Physician Assistant · NPI 1679673255

Stacey T Shepherd, PA-C is a Medical Physician Assistant in Centreville, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5645 Stone Rd
Centreville, VA 20120-1618
Phone: (703) 266-2442
Fax: (703) 266-7158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110001525 (VA)

Record details

NPI number1679673255
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6705 Jackpin Pl, Gainesville, VA 20155-4459

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