Individual
MR. PAUL M SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, APN
Contact information
Practice address
1401 MALVERN AVE, ROOM 152, HOT SPRINGS, AR 71901-6327
(501) 624-0700
Mailing address
139 LOVE RD, GLENWOOD, AR 71943-8631
(870) 356-2434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01051
AR
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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