Organization
EAST-END FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA LATASHA SHEPARD DNP, FNP-BC, COHC (CO-OWNER/FAMILY NURSE PRACTITIONER)
(662) 721-8036
Entity
Organization
Contact information
Practice address
140 NORTH ST, CLEVELAND, MS 38732-2744
(662) 545-4674
(662) 545-4715
Mailing address
140 NORTH ST, CLEVELAND, MS 38732-2744
(662) 545-4674
(662) 545-4715
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
01/17/2024
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