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Individual

MICHELLE DAWN SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
147 N HIGHLAND AVE, PRESTONSBURG, KY 41653-7748
(270) 753-6622
(502) 262-2887
Mailing address
147 N HIGHLAND AVE, PRESTONSBURG, KY 41653-7748

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1085212
KY
363L00000X
Nurse Practitioner
Primary
1085212
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015962
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100730860
KY
Enumeration date
03/16/2021
Last updated
03/06/2026
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