Sheppard, Corinna Jo

Sheppard, Corinna Jo is an individual health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sheppard, Corinna Jo can be contacted via phone (573) 629-5410.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Phone: (573) 629-5410
Fax: (573) 629-3987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2014021972 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022004358 Missouri

Profile Details

NPI number 1770235517
LBN Legal business name Sheppard, Corinna Jo
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2022
Last updated Aug 29th, 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 1770235517 NPPES
Missouri MEDICAID 420106601

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