Individual provider · Type 1 NPI

Jacqueline Shepard

Physician Assistant · Fort Wayne, IN

NPI number 1003686908 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Call (260) 435-7001 Map

Mailing address

5913 Hallowell Pl
Fort Wayne, IN 46815-6214

Other practice locations

  • 702 Van Buren St, Fort Wayne, IN 46802-3697 · (856) 686-4341

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Physician Assistant 363A00000X10004291A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003686908

Jacqueline Shepard's National Provider Identifier is 1003686908, issued on Jan 3, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 30, 2026.