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Individual

MISS JESSICA MICHELLE SHEPPARD

Active
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Individual

MISS JESSICA MICHELLE SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9109650
FL
363A00000X
Physician Assistant
Primary
9204
GA
363AM0700X
Medical Physician Assistant
9204
GA
363AS0400X
Surgical Physician Assistant
9204
GA

Other

Enumeration date
08/25/2016
Last updated
04/16/2026
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