JENNIFER SHEPHERD (NPI# 1720064223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720064223 |
Entity Type | Individual |
Full Name | JENNIFER SHEPHERD |
Credential | APN |
Practice Address |
502 West Court Street. Jasper AR 72641 |
Mailing Address |
103 Bogy Ave Harrison AR 72601-6706 |
Practice Telephone | 8704462203 |
Practice Fax Number | 8704462206 |
Mailing Telephone | 8707439365 |
Enumeration Date | 2005-12-16 |
Last Update Date | 2012-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A01229 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 135650758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740806835 | Jennifer Shepherd | Technician | 400 Atlantic St Se Apt 209se, Washington, DC 20032-3702 | 2020-06-24 |
1972127256 | Jennifer Shepherd | Early Intervention Provider Agency | 36380 Garfield Rd Ste 4, Clinton Township, MI 48035-1162 | 2020-06-03 |
1316473341 | Jennifer Shepherd | Case Manager/Care Coordinator | 1135 2nd Avenue W Ste 202b, Williston, ND 58802 | 2017-05-11 |
1437354719 | Jennifer Chudy Shepherd | Physical Therapist | 1800 Jackson St Ste 208, Golden, CO 80401-2358 | 2007-06-18 |
1174660054 | Jennifer R Shepherd | Physical Therapist | 1630 Military Cutoff Rd, Suite 110, Wilmington, NC 28403-5719 | 2007-01-31 |
1457452781 | Jennifer Mary Shepherd | Chiropractor | 1632 Alameda Blvd Nw, Albuquerque, NM 87114-8807 | 2006-09-26 |
1124640354 | Jennifer Shepherd | Social Worker | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2020-05-11 |
1740782838 | Jennifer Shepherd | Counselor | 825 W Linebaugh Ave, Tampa, FL 33612-7855 | 2018-03-05 |
1356601165 | Jennifer Call Shepherd | Audiologist | 70 S Fairfield Rd, Layton, UT 84041-5111 | 2012-05-25 |
1811208556 | Jennifer Lynd Shepherd | Pediatrics | 4650 W Sunset Blvd, #31, Los Angeles, CA 90027-6062 | 2010-06-28 |
Street Address |
502 WEST COURT STREET. |
City | JASPER |
State | AR |
Zip Code | 72641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467091439 | James Patrick Martin | Massage Therapist | 100 West South Street, Jasper, AR 72641 | 2019-12-23 |
1811442577 | Tember Mcneill | Chiropractor | 514 W. Clark Street, Suite 340, Jasper, AR 72641 | 2016-08-23 |
1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
1740426287 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 504 West Court Street, Room 110, Jasper, AR 72641 | 2009-01-06 |
1912143280 | Linda Casey Sides | Nurse Practitioner | 502 W Court Street, Jasper, AR 72641 | 2008-12-17 |
1831359587 | Mary Dennise Pollyea | Social Worker | 105 Red Oak Lane, Jasper, AR 72641 | 2008-06-16 |
1104971373 | Johnny Lee Smith | Nurse Practitioner | 502 West Court, Jasper, AR 72641 | 2007-01-25 |
1780674143 | James B Justice | Family Medicine | 502 W Court, Jasper, AR 72641 | 2005-10-26 |
1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
1831599554 | Alternative Oppurtunities | Community/Behavioral Health | 504 W Court St, Jasper, AR 72641-0110 | 2014-08-29 |
Find all providers in zip 72641 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
Find all providers in JASPER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.