Individual
BRANDI NICOLE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 JOHN KISSINGER DR, WABASH, IN 46992-1648
(260) 274-0444
Mailing address
1212 N 100 E, WABASH, IN 46992-7700
(260) 571-8100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27064702A
IN
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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