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Individual
JANAE WILSON SHEPHERD
Active
Individual
JANAE WILSON SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
95055800
CA
363LF0000X
Family Nurse Practitioner
Primary
95030620
CA
Other
Enumeration date
06/08/2017
Last updated
11/05/2025
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