Individual
JENNIFER SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 STACY LANE RD, IRVINE, KY 40336-7356
(606) 723-0665
(606) 723-0680
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(606) 287-7104
(606) 287-4409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1104193
KY
363LF0000X
Family Nurse Practitioner
Primary
46061
KY
Other
Enumeration date
06/03/2008
Last updated
05/27/2011
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