IndividualActive
Alice Shepard, PNP-BC
NPI 1629333208 · Pediatric Nurse Practitioner · Eglin Afb, FL
Provider details
- NPI number
- 1629333208
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- AP130674 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
307 Boatner Rd Ste 114
Eglin Afb, FL 32542
Phone: (850) 883-8550
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Capehart Rd
Bellevue, NE 68123
Registry dates
- Enumerated
- 2012-07-10
- Last updated
- 2023-06-28
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.