Individual
MRS. MARCIA JANE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
2701 T P WHITE DR, JACKSONVILLE, AR 72076-2514
(501) 241-0410
(501) 241-0125
Mailing address
104 LITTLE CREEK RD, SHERWOOD, AR 72120-5831
(501) 837-3120
(501) 819-0711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2238
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137014721
—
AR
01
—
5U878
AR BLUE CROSS/BLUE SHIELD
AR
Enumeration date
09/27/2006
Last updated
07/21/2022
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