Individual provider · Type 1 NPI
Tyra Shepherd, CCMA
Medical Physician Assistant · Mccordsville, IN
NPI number
1316744618
Active
Practice location
5698 Teak Ln
Mccordsville, IN 46055-0106
Mailing address
8245 E 96th St # 1057
Indianapolis, IN 46256-1013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Mccordsville
About NPI 1316744618
Tyra Shepherd, CCMA's National Provider Identifier is 1316744618, issued on Feb 25, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mccordsville, IN. The record was last updated on Feb 25, 2025.