Provider Demographics
NPI:1457760274
Name:SHEPPARD, LINDSEY NICOLE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:NICOLE
Last Name:SHEPPARD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:LEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:821 E VETERANS MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-9215
Mailing Address - Country:US
Mailing Address - Phone:405-485-9588
Mailing Address - Fax:405-485-3499
Practice Address - Street 1:821 E VETERANS MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-9215
Practice Address - Country:US
Practice Address - Phone:405-485-9588
Practice Address - Fax:405-485-3499
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0092860363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily