Provider Demographics
NPI:1326548264
Name:SHEPHERD, FRANCES (APRN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7830 TEXAS TRL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1426
Mailing Address - Country:US
Mailing Address - Phone:925-719-1929
Mailing Address - Fax:
Practice Address - Street 1:1900 E COMMERCIAL BLVD STE 201
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3746
Practice Address - Country:US
Practice Address - Phone:954-928-1178
Practice Address - Fax:954-771-1402
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9281123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily