DR. JESSICA BLAIR SHEPHERD MD
NPI 1114677689
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 26, 2022
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-8840 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Blair Shepherd Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA BLAIR SHEPHERD MD (NPI 1114677689) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1114677689
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JESSICA BLAIR SHEPHERDCredential: MD
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917
Sole ProprietorNo
Enumeration DateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
NPI 1114677689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S MAIN ST, Fort Worth, TX 76104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shepherd's NPI number?

The NPI number for Jessica Shepherd is 1114677689. It was assigned to this individual provider in the NPPES registry on March 26, 2022.

Where is Jessica Shepherd located?

Jessica Shepherd practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-8840.

What is Jessica Shepherd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Shepherd was last updated on March 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.