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NPI Code Detail

MEDICARE: JAYNA N SHEPHERD D.O.

MEDICARE: JAYNA N SHEPHERD D.O.
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
1207Q00000XFamily Medicine Physician4226OK

General Provider Information

NPI Number : 1841356797
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYNA N SHEPHERD D.O.
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE
Second Line : SUITE 280
City : OKLAHOMA CITY
State : OK
Zip : 73112-5556
Country : US
Telephone Number : 405-357-3500
Fax Number : 405-357-3519
Provider Business Practice Location Address
First Line : 7301 SW 44TH ST STE A
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-4309
Country : US
Telephone Number : 405-357-3500
Fax Number : 405-357-3519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 08/04/2017

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Directions to “ JAYNA N SHEPHERD D.O.” Practice Location

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