Individual
JEREMY DOUGLAS SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1000
Mailing address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1000
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
163W00000X
Registered Nurse
259150
TN
363LF0000X
Family Nurse Practitioner
Primary
37981
TN
Other
Enumeration date
11/19/2024
Last updated
01/10/2025
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