Individual
KARLY ALEXA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5200 EXECUTIVE CENTRE PKWY STE 300, SAINT PETERS, MO 63376-3809
(636) 229-4222
Mailing address
104 S ELM AVE, SAINT LOUIS, MO 63119-3018
(314) 681-6947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025006818
MO
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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