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Contact Information

JENNIFER SHEPHERD, RN
932 E 113 N
IDAHO FALLS, ID83401-5119
 Phone: 208-970-4079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
 

Nutrition Support

163WN1003X
Indicates primary specialty

NPI Profile & details for JENNIFER SHEPHERD · (Female)

NPI Number 1518682830
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/10/2022
Last updated 10/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 51454
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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