Provider Demographics
NPI:1003553991
Name:SHEPPERSON, STE'KEIRA
Entity Type:Individual
Prefix:
First Name:STE'KEIRA
Middle Name:
Last Name:SHEPPERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 S HOLLYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-8890
Mailing Address - Country:US
Mailing Address - Phone:540-267-5400
Mailing Address - Fax:
Practice Address - Street 1:831 S HOLLYBROOK RD
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-8890
Practice Address - Country:US
Practice Address - Phone:540-267-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula