Individual
STACY SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-4220
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7434
NC
367500000X
Certified Registered Nurse Anesthetist
880353
TX
367500000X
Certified Registered Nurse Anesthetist
APN.0995982-CRNA
CO
Other
Enumeration date
07/20/2017
Last updated
03/24/2025
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