Healthcare Provider Details

I. General information

NPI: 1356032338
Provider Name (Legal Business Name): ALLISON SHEPPARD DNP, FNP-C, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 103
SMOAKS SC
29481-0103
US

IV. Provider business mailing address

PO BOX 103
SMOAKS SC
29481-0103
US

V. Phone/Fax

Practice location:
  • Phone: 843-901-9102
  • Fax: 803-637-8265
Mailing address:
  • Phone: 843-901-9102
  • Fax: 803-637-8265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number235395
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number27488
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: