Provider Demographics
NPI:1417442989
Name:SHEPARD, KARINA B (ARNP)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:B
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 VILLAGE SQUARE XING STE 170
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4549
Mailing Address - Country:US
Mailing Address - Phone:561-627-8500
Mailing Address - Fax:561-627-2956
Practice Address - Street 1:900 VILLAGE SQUARE XING STE 170
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4549
Practice Address - Country:US
Practice Address - Phone:561-627-8500
Practice Address - Fax:561-627-2956
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9357147363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner