Sheppard, Kristen L
Sheppard, Kristen L is an individual health care provider with primary practice located at 220 N Sidney Ave , Russellville AR 72801-4389. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Sheppard, Kristen L can be contacted via phone (501) 224-1690.Contact Information
Primary practice address
220 N Sidney Ave
Russellville AR 72801-4389
Phone: (501) 224-1690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | A03459 | Arkansas |
Profile Details
| NPI number | 1710267828 |
|---|---|
| LBN Legal business name | Sheppard, Kristen L |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2011 |
| Last updated | Sep 12th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710267828 | NPPES |
| Arkansas | MEDICAID | 198814758 |
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