JENNIFER SHEPARD NNP-BC NPI 1114382207

NPI Information

NPI: 1114382207
Provider Name: JENNIFER SHEPARD, NNP-BC
Classification: Nurse Practitioner - 363LN0005X
Entity Type: Individual

Specialization: Neonatal, Critical Care

PECOS Registration: Yes

Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-2088
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Jennifer Shepard, NNP-BC is a neonatal and critical care nurse practitioner in Boise, ID. Jennifer Shepard, NNP-BC NPI is 1114382207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-2088
Fax: (208) 381-2893

The NPI 1114382207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	NP-1671A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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