DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUSANNA M SHEPARD FNP

MEDICARE: SUSANNA M SHEPARD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5005161NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003992058
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNA M SHEPARD FNP
Provider Business Mailing Address
First Line : 2910 EAST FRANKLIN BLVD #1
Second Line :
City : GASTONIA
State : NC
Zip : 28056-7225
Country : US
Telephone Number : 704-648-0460
Fax Number : 855-446-7146
Provider Business Practice Location Address
First Line : 2910 EAST FRANKLIN BLVD #1
Second Line :
City : GASTONIA
State : NC
Zip : 28056-7225
Country : US
Telephone Number : 704-648-0460
Fax Number : 855-446-7146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 03/10/2026

Similar Medicare Providers

1942315486 — SULABHA GODBOLE GUPTA M.D.
Practice Location Address:
2910 EAST FRANKLIN BLVD #1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146
1811171325 — DR. CARI WILCOX DILLARD MD
Practice Location Address:
2910 EAST FRANKLIN BLVD #1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146
1912965583 — IAN PATRICK STAMP M.D.
Practice Location Address:
2910 EAST FRANKLIN BLVD , SUITE 1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146
1528267770 — HARESH KUMAR MD
Practice Location Address:
2910 EAST FRANKLIN BLVD , SUITE 1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146
1720240682 — ZUHAIR AHMED ABUALRIHY MD
Practice Location Address:
2910 EAST FRANKLIN BLVD #1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146
1467127886 — HEIDI SUZANNE CAMMER FNP
Practice Location Address:
2910 EAST FRANKLIN BLVD , SUITE 1
GASTONIA, NC
28056-7225
Practice Phone: 704-648-0460
Practice Fax: 855-446-7146

Directions to “ SUSANNA M SHEPARD FNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.