Individual provider · Type 1 NPI

Alice Lyn Shepard, PNP-BC

Pediatric Nurse Practitioner · Eglin Afb, FL

NPI number 1629333208 Active

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542

Mailing address

2501 Capehart Rd
Bellevue, NE 68123

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP130674 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629333208

Alice Lyn Shepard, PNP-BC's National Provider Identifier is 1629333208, issued on Jul 10, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eglin Afb, FL. The record was last updated on Jun 28, 2023.