Individual
JENNIFER SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
502 WEST COURT STREET., JASPER, AR 72641
(870) 446-2203
(870) 446-2206
Mailing address
103 BOGY AVE, HARRISON, AR 72601-6706
(870) 743-9365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01229
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135650758
—
AR
Enumeration date
12/16/2005
Last updated
04/23/2012
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