Shepherd, Kristen Amanda

Shepherd, Kristen Amanda is an sole proprietor health care provider with primary practice located at 1 W Sunbridge Dr , Fayetteville AR 72703-1825. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shepherd, Kristen Amanda can be contacted via phone (479) 443-5575.

Contact Information

Primary practice address
1 W Sunbridge Dr Fayetteville AR 72703-1825
Phone: (479) 443-5575
Fax: (479) 442-3732
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 29392 Tennessee
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 219568 Arkansas

Profile Details

NPI number 1760690010
LBN Legal business name Shepherd, Kristen Amanda
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated Jun 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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