Individual
JONELLE SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18437 NW 232ND ST, HIGH SPRINGS, FL 32643-4221
(352) 339-0409
Mailing address
PO BOX 2585, HIGH SPRINGS, FL 32655-2585
(352) 339-0409
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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