Individual
MRS. DEBORAH APOLLO SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
64 BUNTINGS MILL CT, SELBYVILLE, DE 19975-3627
(952) 807-7162
Mailing address
64 BUNTINGS MILL CT, SELBYVILLE, DE 19975-3627
(952) 807-7162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
06263
OH
363LF0000X
Family Nurse Practitioner
Primary
LG0001083
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000270627
—
OH
01
—
1043205628
MTN ST BCBS
WV
05
—
2275461
—
OH
05
—
3810014055
—
WV
01
—
613154600
BLACK LUNG/FECA
WV
Enumeration date
09/20/2005
Last updated
05/02/2025
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