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Individual
NICOLE FERNANDEZ SHEPPARD
Active
Individual
NICOLE FERNANDEZ SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
801743
TX
363LF0000X
Family Nurse Practitioner
Primary
1016662
TX
363LF0000X
Family Nurse Practitioner
F09200291
TX
Other
Enumeration date
08/04/2020
Last updated
03/01/2022
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