Individual
MRS. KELLY SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2727 ENTERPRISE PKWY STE 202, HENRICO, VA 23294-6341
(804) 261-2090
Mailing address
6260 FIELDSHIRE CT, MECHANICSVILLE, VA 23111-6561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024182729
VA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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