MEDICARE: SHEPHERD FAMILY CLINIC, LLC

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
1	207Q00000X	Family Medicine Physician
2	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1780396549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEPHERD FAMILY CLINIC, LLC

Provider Business Mailing Address
First Line	:	1326 HIGHWAY 80 E
Second Line	:
City	:	CALHOUN
State	:	LA
Zip	:	71225-9113
Country	:	US
Telephone Number	:	318-599-3050
Fax Number	:	318-599-3051

Provider Business Practice Location Address
First Line	:	1326 HIGHWAY 80 E
Second Line	:
City	:	CALHOUN
State	:	LA
Zip	:	71225-9113
Country	:	US
Telephone Number	:	318-669-0137
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	STEPHANIE JORDAN SHEPHERD
Credential	:	APRN, FNP-C
Telephone Number	:	318-599-3050

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	10/08/2025

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