Individual provider · Type 1 NPI
Taylor Rudolph Sheppard, DO
Student in an Organized Health Care Education/Training Program · Lemoore, CA
NPI number
1255890174
Active
Practice location
700 Avenger Ave
Lemoore, CA 93246-5000
Mailing address
6225 Humphreys Blvd
Memphis, TN 38120-2373
Other practice locations
- Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 · (901) 487-2842
- 6225 Humphreys Blvd, Memphis, TN 38120-2373 · (901) 227-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 0102206339 (VA) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
Other student in an organized health care education/training program providers in Lemoore
About NPI 1255890174
Taylor Rudolph Sheppard, DO's National Provider Identifier is 1255890174, issued on Mar 19, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lemoore, CA. The record was last updated on Jul 12, 2024.