Individual
STACEY JO SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 N I 35, DENTON, TX 76201-5119
(940) 898-7000
Mailing address
3000 N I 35, DENTON, TX 76201-5119
(940) 323-5756
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
AP127589
TX
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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