Individual provider · Type 1 NPI

Agnes Shepard, FNP-BC

Family Nurse Practitioner · Deer Park, TX

NPI number 1609288430 Active

Practice location

3300 Center St
Deer Park, TX 77536-5058

Mailing address

3400 Civic Center Blvd Fl 2
Philadelphia, PA 19104-5127

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP016684 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1609288430

Agnes Shepard, FNP-BC's National Provider Identifier is 1609288430, issued on May 28, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Deer Park, TX. The record was last updated on Dec 30, 2016.