Individual
JODEY EVELYN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
1957 S CACTUS RD, APACHE JUNCTION, AZ 85119-7734
(360) 774-0836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211763
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
329166
AZ
Other
Enumeration date
04/05/2025
Last updated
11/12/2025
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