Individual
DEXTER SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
229 BART GREENE DR, JOHNSON CITY, TN 37615-4612
(423) 946-0971
Mailing address
119 BOONE RIDGE DR, STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
174366
TN
Other
Enumeration date
02/01/2016
Last updated
08/03/2016
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