Individual provider · Type 1 NPI

Jack Christian Shephard, RN

Case Management Registered Nurse · Seattle, WA

NPI number 1811867153 Active

Practice location

4831 35th Ave SW
Seattle, WA 98126-2709

Fax (206) 923-3941

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XRN60389134 (WA)

Case Management Registered Nurse: Definition to come...

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About NPI 1811867153

Jack Christian Shephard, RN's National Provider Identifier is 1811867153, issued on Nov 11, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Seattle, WA. The record was last updated on Nov 11, 2025.