Individual
MRS. REBECCA SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
403 SYCAMORE ST, WILLIAMSBURG, KY 40769-1153
(606) 549-8244
(606) 549-0354
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100363990
—
KY
01
—
P01510190
RR MEDICARE
KY
Enumeration date
01/29/2014
Last updated
12/02/2020
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