Individual
MRS. CHASITY ANN SHEPPEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2525 HIGHWAY 1 S STE A, GREENVILLE, MS 38701-8354
(623) 351-1103
(662) 335-8746
Mailing address
2525 HIGHWAY 1 S STE A, GREENVILLE, MS 38701-8354
(662) 335-1103
(662) 335-8746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904133
MS
Other
Enumeration date
09/10/2020
Last updated
09/23/2020
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