Individual
JOHANNA SHEPPARD
Active
Individual
JOHANNA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PNP-AC
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
1012393
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1012393
TX
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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