Jennifer Shepherd, APN
Nurse Practitioner, Family in Jasper, AR. Individual provider (NPI-1).
NPI number1720064223
StatusActive
Last updated in NPPESApr 23, 2012
Details
- NPI
- 1720064223
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Shepherd
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2005
- Last updated
- Apr 23, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A01229 | AR | Yes |
Practice location
502 West Court Street.Jasper, AR 72641
Phone 870-446-2203 · Fax 870-446-2206
Mailing address
103 Bogy AveHarrison, AR 72601-6706
Phone 870-743-9365
Is something wrong?
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Other Family Nurse Practitioner providers in Jasper, AR
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