Individual
MRS. CHRISTY SHEA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6986
Mailing address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 815-3781
(601) 984-5085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902098
MS
Other
Enumeration date
06/18/2017
Last updated
06/16/2018
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