Individual
JESSICA S SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2 CRESCENT PARK WEST, WARREN EMERGENCY ROOM, WARREN, PA 16365-2111
(814) 723-2510
(814) 723-4654
Mailing address
717 STATE STREET, SUITE 16 LL, REGIONAL HEALTH SERVICES, INC, ERIE, PA 16501-1360
(814) 877-7100
(814) 877-2939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS012810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009109580001
—
PA
Enumeration date
05/18/2007
Last updated
03/07/2023
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