IndividualActive
Jessica Shepherd, AGCNS-BC
NPI 1134596125 · Clinical Nurse Specialist · Fayetteville, AR
Provider details
- NPI number
- 1134596125
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- S002300 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3900 N Parkview Dr
Fayetteville, AR 72703-6398
Phone: (479) 966-4187
Approximate (ZIP-level) locationGet directions
Mailing address
5061 W Waverly Rd
Fayetteville, AR 72704-6957
Registry dates
- Enumerated
- 2015-08-26
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.