Shepherd, Michelle R.

Shepherd, Michelle R. is an individual health care provider with primary practice located at 4600 3Rd St , Moline IL 61265-6106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shepherd, Michelle R. can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
4600 3Rd St Moline IL 61265-6106
Phone: (309) 779-2031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209019382 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G154523 Iowa

Profile Details

NPI number 1114571445
LBN Legal business name Shepherd, Michelle R.
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2019
Last updated Jul 25th, 2019 - about 5 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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