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General NPI Number Information
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NPI Number | 1487116455
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Entity Type | Individual
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Provider Name | KATHERINE NICOLE HILL SHEPPARD MSN, APRN, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 2 BERNARDINE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4404
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Country | US
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Telephone | 757-886-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 117 VIRGINIA DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4946
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Country | US
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Telephone | 757-812-4528
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 0015001074
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001238728
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License Number State | VA
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