Individual
MARION L SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 41701-9524
(606) 433-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 435-7643
(606) 436-5282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007171
KY
363LF0000X
Family Nurse Practitioner
3007171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100196890
—
KY
Enumeration date
02/07/2012
Last updated
02/12/2019
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