Individual
DR. JERRY E SHEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2009 BROWN ST, ANDERSON, IN 46016-4216
(317) 574-1254
(317) 674-0060
Mailing address
9615 E 148TH ST STE 1, NOBLESVILLE, IN 46060-4371
(317) 587-0500
(317) 674-0059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01032845A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032845B
CDS NUMBER
IN
05
—
200006300
—
IL
Enumeration date
08/11/2005
Last updated
04/06/2026
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