Provider Demographics
NPI:1033650833
Name:SHEPPARD, ALKACHINY
Entity Type:Individual
Prefix:
First Name:ALKACHINY
Middle Name:
Last Name:SHEPPARD
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 1:3102 SE 22ND PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32641-0924
Mailing Address - Country:US
Mailing Address - Phone:352-538-2981
Mailing Address - Fax:352-271-3848
Practice Address - Street 1:3102 SE 22ND PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32641-0924
Practice Address - Country:US
Practice Address - Phone:352-538-2981
Practice Address - Fax:352-271-3848
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker