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NPI Code Detail

MEDICARE: DR. ROXANNE AU-JEAN SHEPHERD DC

MEDICARE:  DR. ROXANNE AU-JEAN SHEPHERD  DC
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
1111N00000XChiropractorCH14601FL

General Provider Information

NPI Number : 1467135848
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROXANNE AU-JEAN SHEPHERD DC
Provider Business Mailing Address
First Line : 1857 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34946-1406
Country : US
Telephone Number : 772-362-1436
Fax Number :
Provider Business Practice Location Address
First Line : 1857 N US HIGHWAY 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34946-1406
Country : US
Telephone Number : 772-362-1436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ DR. ROXANNE AU-JEAN SHEPHERD DC” Practice Location

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