Organization
SHEPHERD CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN HANSEN (ADMINISTRATOR)
(731) 343-8336
Entity
Organization
Contact information
Practice address
49 OLD HICKORY BLVD, JACKSON, TN 38305-4551
(731) 343-8336
(731) 213-1915
Mailing address
29 N STAR DR, SUITE D, JACKSON, TN 38305-6656
(731) 343-8336
(731) 213-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
01/24/2019
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