Individual provider · Type 1 NPI

Jelisa Shepherd, RN

Registered Nurse · San Diego, CA

NPI number 1205656980 Active

Practice location

5930 Cornerstone Ct W Ste 300
San Diego, CA 92121-3772

Mailing address

200 Avenue F NE
Winter Haven, FL 33881-4131

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9336751 (FL)
Registered Nurse 163W00000X95258115 (CA)
Registered Nurse Primary 163W00000X913758 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1205656980

Jelisa Shepherd, RN's National Provider Identifier is 1205656980, issued on Oct 16, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 16, 2024.