Individual
AGNES SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3300 CENTER ST, DEER PARK, TX 77536-5058
(609) 213-3772
Mailing address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(609) 213-3772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016684
PA
Other
Enumeration date
05/28/2014
Last updated
12/30/2016
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