Individual
DOROTHY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 455-6743
(864) 454-4669
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017390
NC
363LF0000X
Family Nurse Practitioner
Primary
29339
SC
Other
Enumeration date
12/23/2022
Last updated
11/21/2024
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