MYRTISE SHEPARD NPI 1255880969

NPI Information

Myrtise Shepard is a licensed practical nurse in Chicago, IL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Myrtise Shepard NPI is 1255880969. 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:

12324 S UNION UNION AVE
CHICAGO, IL
ZIP 60628-433
Phone: (773) 317-2943

The enumeration date for this NPI number is 9/23/2016 and was last updated on 9/23/2016.

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:

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