Provider Demographics
NPI:1942954698
Name:SHEPHERD, BRITTANY JEANE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:JEANE
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:JEANE
Other - Last Name:KALUPSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:33747 N SCOTTSDALE ROAD
Mailing Address - Street 2:STE 135
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1566
Mailing Address - Country:US
Mailing Address - Phone:602-795-8700
Mailing Address - Fax:602-795-8701
Practice Address - Street 1:33747 N SCOTTSDALE ROAD
Practice Address - Street 2:STE 135
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1566
Practice Address - Country:US
Practice Address - Phone:602-795-8700
Practice Address - Fax:602-795-8701
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ275659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily