Shepherd, Shannon Elizabeth

Shepherd, Shannon Elizabeth is an individual health care provider with primary practice located at 770 Northpoint Pkwy Ste 200 , West Palm Beach FL 33407-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Shepherd, Shannon Elizabeth can be contacted via phone (561) 655-3331.

Contact Information

Primary practice address
770 Northpoint Pkwy Ste 200 West Palm Beach FL 33407-1901
Phone: (561) 655-3331
Fax: (561) 655-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN9341130 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11010478 Florida

Profile Details

NPI number 1114904976
LBN Legal business name Shepherd, Shannon Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114904976 NPPES
Georgia MEDICAID 765509669A

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