Individual
COURTNEY SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1510 N FANT ST, ANDERSON, SC 29621-4708
(864) 226-1219
Mailing address
1510 N FANT ST, ANDERSON, SC 29621-4708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26555
SC
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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