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Individual

JACK CHRISTIAN SHEPHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 923-3941
(206) 923-3941
Mailing address
4831 35TH AVE SW, SEATTLE, WA 98126-2709
(206) 923-3941
(206) 923-3941

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60389134
WA

Other

Enumeration date
11/11/2025
Last updated
11/11/2025
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