Individual provider · Type 1 NPI

Elis Sheppard

Licensed Practical Nurse · Philadelphia, PA

NPI number 1972088870 Active

Practice location

7248 Elmwood Ave
Philadelphia, PA 19142-1533

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN280957 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1972088870

Elis Sheppard's National Provider Identifier is 1972088870, issued on Sep 27, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 27, 2018.