Jennifer Shepherd, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01229 Issued in AR

Practice address

502 West Court Street.
Jasper, AR 72641

Phone

(870) 446-2203

Fax

(870) 446-2206

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Easy Access Healthcare Medical Clinic

  • Urgent Care Clinic/Center
  • Little Rock, AR
  • NPI 1063736791
  NPD (past)
• Medbasics Arkansas LLC

  • Primary Care Clinic/Center
  • Little Rock, AR
  • NPI 1245416007
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Searcy, AR
  • NPI 1104172121
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Eupora, MS
  • NPI 1013096783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1720064223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BOGY AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016706",
            "telephone_number": "870-743-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WEST COURT STREET.",
            "city": "JASPER",
            "state": "AR",
            "postal_code": "72641",
            "telephone_number": "870-446-2203",
            "fax_number": "870-446-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135650758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Arkansas Regional Medical Center
• Peak Performance Chiropractic
• Mary Dennise Pollyea, LCSW
• Lawrence Hill Ramsay, PA
• Susan Renee Samuels, MS, RD, LD
• Linda Casey Sides, ANP
• Emily Smith
• Johnny Lee Smith, APN
• State of Arkansas
• Michael Thompson, PA

• Family Nurse Practitioner in Jasper, AR
• Providers in Jasper, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.