MEDICARE: PAIGE SHEPHERD APRN

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	363LF0000X	Family Nurse Practitioner	38518	TN

General Provider Information

NPI Number	:	1871387258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE SHEPHERD APRN

Provider Business Mailing Address
First Line	:	217 FREEDOM RD
Second Line	:
City	:	MT PLEASANT
State	:	TN
Zip	:	38474-5009
Country	:	US
Telephone Number	:	931-446-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 FREEDOM RD
Second Line	:
City	:	MT PLEASANT
State	:	TN
Zip	:	38474-5009
Country	:	US
Telephone Number	:	931-446-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/08/2025

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Directions to “ PAIGE SHEPHERD APRN” Practice Location

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