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CASSANDRA LATASHA SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
140 NORTH ST, CLEVELAND, MS 38732-2744
(662) 545-4674
(662) 545-4715
Mailing address
1500 N BAYOU RD, CLEVELAND, MS 38732-9723
(662) 721-8036

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902006
MS

Other

Enumeration date
09/01/2017
Last updated
01/09/2025
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