Individual
JOAN RUSSELL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
204 N HAMILTON ST, SUITE 4, RICHMOND, VA 23221-2662
(804) 353-1230
Mailing address
204 N HAMILTON ST, SUITE 4, RICHMOND, VA 23221-2662
(804) 353-1230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017137813
VA
Other
Enumeration date
07/13/2008
Last updated
01/30/2018
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