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Individual

ALICE LYN SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542
(850) 883-8550
Mailing address
2501 CAPEHART RD, BELLEVUE, NE 68123
(402) 294-6077

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP130674
TX

Other

Enumeration date
07/10/2012
Last updated
06/28/2023
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