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Individual
JELISA SHEPHERD
Active
Individual
JELISA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
913758
NY
163W00000X
Registered Nurse
95258115
CA
163W00000X
Registered Nurse
RN9336751
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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