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NPI Code Detail

MEDICARE: DIEDRE SHEPARD FNP-BC

MEDICARE: DIEDRE SHEPARD FNP-BC
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
1363L00000XNurse PractitionerCAPN0003095CNPCO
2363L00000XNurse Practitioner11506MN
3363LF0000XFamily Nurse PractitionerAP70006064WA
4363L00000XNurse Practitioner5014718NC
5363LF0000XFamily Nurse Practitioner890389NV
6363L00000XNurse PractitionerAP139187TX
7363L00000XNurse Practitioner53-82935-102KS
8363L00000XNurse Practitioner305855AZ
9363LF0000XFamily Nurse Practitioner0024183695VA
10363LF0000XFamily Nurse PractitionerAP139187TX
11363LF0000XFamily Nurse Practitioner0030633OH
12363LF0000XFamily Nurse PractitionerAPRN11039824FL
13363LF0000XFamily Nurse Practitioner2026011133MO
14363LF0000XFamily Nurse Practitioner277001705IL
15363L00000XNurse PractitionerAPRN-192375MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP139187OTHERTXAPRN LICENSE

General Provider Information

NPI Number : 1437625449
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIEDRE SHEPARD FNP-BC
Provider Business Mailing Address
First Line : 1340 N HIGHWAY 377 STE 110
Second Line :
City : PILOT POINT
State : TX
Zip : 76258-3765
Country : US
Telephone Number : 940-686-0860
Fax Number :
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2018
Last Update Date : 03/16/2026

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Practice Location Address:
1201 FANNIN ST STE 262
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1841937901 — JENNIFER NICOLE FOWLER FNP-C
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1295484954 — CAROL YE-SHANE LIN FNP-C
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HOUSTON, TX
77002-6943
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1669257788 — TAYLER EDMOND
Practice Location Address:
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Directions to “ DIEDRE SHEPARD FNP-BC” Practice Location

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