Provider Demographics
NPI:1396528816
Name:SHEPERDSON, ALEXANDRA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LYNN
Last Name:SHEPERDSON
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3465 BRODERICK ST APT 204
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-1852
Mailing Address - Country:US
Mailing Address - Phone:925-984-6941
Mailing Address - Fax:
Practice Address - Street 1:3465 BRODERICK ST APT 204
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-1852
Practice Address - Country:US
Practice Address - Phone:925-984-6941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant