Latasha Patrina Shepherd, FNP
Nurse Practitioner, Family in Brooklyn, NY. Individual provider (NPI-1).
NPI number1003671876
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1003671876
- Entity type
- Individual (NPI-1)
- Name
- Ms. Latasha Patrina Shepherd
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2024
- Certification date
- Mar 13, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 355031 | NY | Yes |
Practice location
159 E 46th StBrooklyn, NY 11203-1814
Phone 347-682-7738
Mailing address
159 E 46th StBrooklyn, NY 11203-1814
Phone 347-682-7738
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