Individual
SHANIKA RENEE SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 N SUMTER ST STE 315, SUMTER, SC 29150-4967
(803) 774-9787
(803) 774-9781
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23750
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7381
—
SC
Enumeration date
11/20/2020
Last updated
06/21/2023
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