Individual
CHELSEA CAROLINE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7739
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
904431
MS
363LF0000X
Family Nurse Practitioner
Primary
APN29116
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07888842
—
MS
05
—
Q065602
—
TN
Enumeration date
02/01/2021
Last updated
09/21/2021
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