DR. AMY BALDUCCI SHEPHERD M.D. NPI 1881638666

NPI Information

NPI: 1881638666
Provider Name: DR. AMY BALDUCCI SHEPHERD, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-2000
Get Directions

DR. Amy Balducci Shepherd, M.D. is a pediatric emergency medicine pediatrics in Jackson, MS. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Amy Balducci Shepherd, M.D. NPI is 1881638666. 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:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-2000

The enumeration date for this NPI number is 6/15/2006 and was last updated on 6/12/2012.

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	2080P0204X	Pediatrics	Pediatric Emergency Medicine	18335	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1461032	MEDICAID	LOUISIANA
2	302I379141	MEDICARE PIN	MISSISSIPPI
3	00121927	MEDICAID	MISSISSIPPI
4	512I370002	MEDICARE PIN	MISSISSIPPI

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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