Individual
LAURA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(801) 473-4678
Mailing address
1 WASHINGTON AVE BLDG 9-3A, MORRISTOWN, NJ 07960-4337
(801) 473-4678
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NJ14926700
NJ
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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