Individual
JEFFREY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2185
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28187053A
IN
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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