STACEY JO SHEPHERD
NPI 1780166686
Registered Nurse - Critical Care Medicine in Denton, TX
Active since September 06, 2018
About Stacey Jo Shepherd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY JO SHEPHERD (NPI 1780166686) is an individual critical care medicine provider in Denton, Texas, licensed in Texas (AP127589) and active in the NPI registry since September 2018.
NPPES Registry Identity
NPI1780166686
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameSTACEY JO SHEPHERD
Location Address3000 N I 35Denton, TX 76201-5119
Mailing Address3000 N I 35Denton, TX 76201-5119 · (940) 323-5756
Phone(940) 898-7000
Sole ProprietorYes
Enumeration DateSeptember 6, 2018
✔ NPI 1780166686 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in TX · AP127589
3000 N I 35, Denton, TX 76201
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780166686, enumerated as an "individual" on September 06, 2018.
The provider is located at 3000 N I 35 DENTON, TX 76201 and the phone number is (940) 898-7000.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.
