Provider Demographics
NPI:1518006212
Name:SHEPARD, ANN RAMSEY (RN)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:RAMSEY
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 POWDER BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-5054
Mailing Address - Country:US
Mailing Address - Phone:423-543-7047
Mailing Address - Fax:
Practice Address - Street 1:1233 SOUTHWEST AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-6596
Practice Address - Country:US
Practice Address - Phone:423-979-3200
Practice Address - Fax:423-979-3261
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000048791163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health