KRISTEN L SHEPPARD APN NPI 1710267828

NPI Information

NPI: 1710267828
Provider Name: KRISTEN L SHEPPARD, APN
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
220 N SIDNEY AVE
RUSSELLVILLE, AR
ZIP 72801
Phone: (501) 224-1690
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Kristen L Sheppard, APN is a pediatrics and critical care nurse practitioner in Russellville, AR. Kristen L Sheppard, APN NPI is 1710267828. 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:

220 N SIDNEY AVE
RUSSELLVILLE, AR
ZIP 72801-389
Phone: (501) 224-1690

The enumeration date for this NPI number is 8/19/2011 and was last updated on 9/12/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	A03459	ARKANSAS	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	Other Provider Identifier Issuer
1	198814758	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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