Individual
HEATHER MARIE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5321 S FM 14, HAWKINS, TX 75765-4839
(903) 769-2990
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349752101
—
TX
01
—
75-2616977-023
TRICARE
TX
01
—
75-2616977-066
TRICARE
TX
01
—
8975NQ
BCBS
TX
Enumeration date
07/08/2015
Last updated
01/25/2016
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