Individual provider · Type 1 NPI

Jennifer Shepard, NNP-BC

Critical Care Neonatal Nurse Practitioner · Boise, ID

NPI number 1114382207 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Fax (208) 381-2893

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005XNP-1671A (ID)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1114382207

Jennifer Shepard, NNP-BC's National Provider Identifier is 1114382207, issued on Dec 16, 2015. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Boise, ID. The record was last updated on Dec 16, 2015.