Individual
BRENDA K SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HYPERTENSION, JACKSON, MS 39216-4500
(601) 984-6850
Mailing address
917 MOUNT ELAM CHURCH RD, PEARL, MS 39208-9184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R748207
MS
363LF0000X
Family Nurse Practitioner
Primary
748207
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
748207
MS
Other
Enumeration date
07/10/2006
Last updated
10/27/2025
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