Individual
MELINDA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11140 MONTGOMERY RD, CINCINNATI, OH 45249-2309
(513) 792-7800
(513) 792-7827
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 792-7800
(513) 792-7827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16240
OH
363LG0600X
Gerontology Nurse Practitioner
16240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100314950
—
KY
Enumeration date
10/17/2014
Last updated
10/26/2020
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