person
Mrs. Kathleen Jo Sheppard, RN,FNPC
Family Nurse Practitioner in Simpsonville, South Carolina
NPI 1831384619

Kathleen Jo Sheppard is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Kathleen Jo Sheppard practices in Simpsonville, SC and has the professional credentials of RN,FNPC. The NPI Number for Kathleen Jo Sheppard is 1831384619 and holds a License No. 1718 (South Carolina).

The current practice location address for Kathleen Jo Sheppard is 727 Se Main St Ste 300, Simpsonville, SC and can be reached out via phone at 864-522-1170. You can also correspond with Kathleen Jo Sheppard through the mailing address at 300 E MCBEE AVE FL 4, GREENVILLE, SC - 29601-2842 (mailing address contact number: 864-522-8617).

Location: 727 Se Main St Ste 300, Simpsonville, SC, 29601-2842
person
Provider Profile Details
NPI Number
1831384619
Provider Name
Kathleen Jo Sheppard
Credential
RN,FNPC
Provider Entity Type
Individual
Gender
Female
Address
727 Se Main St Ste 300, Simpsonville, SC, 29601-2842
Phone Number
864-522-1170
Fax Number
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01072950 01 SC RR MEDICARE
NP0643 05 SC
institution
Provider Business Practice Location Address Details
Address
727 Se Main St Ste 300
City
State
Zip
29681-3249
Phone Number
864-522-1170
Fax Number
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Provider Business Mailing Address Details
Address
300 E Mcbee Ave Fl 4
City
State
Zip
29601-2842
Phone Number
864-522-8617
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1718 (South Carolina)
Definition
Definition to come...
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