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Individual

MRS. BARBARA SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN BC

Contact information

Practice address
608 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2273
(304) 425-1522
(304) 487-9447
Mailing address
608 NEW HOPE RD, SUITE 1, PRINCETON, WV 24740-2273
(304) 425-1522
(304) 487-9447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23152
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166933000
WV
01
550612451002
MOUNTAIN STATE BCBS
WV
Enumeration date
12/13/2006
Last updated
07/09/2013
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