Individual
MR. DEVIN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
805 TRINITY DR, HOPE, AR 71801-3621
(870) 772-1020
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A004968
AR
363LF0000X
Family Nurse Practitioner
Primary
A004968
AR
363LF0000X
Family Nurse Practitioner
AP135143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F4766
MEDICARE
TX
01
—
1H7138
MEDICARE
AR
01
—
F1016846
AMERICAN ACADEMY OF NURSE PRACTITIONERS
AR
Enumeration date
01/26/2017
Last updated
01/08/2021
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