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Jacqueline Shepard
NPI 1003686908 · on the registry since 2024
Practice
- Address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804 - Phone
- (260) 435-7001
- Organisation at this address
- Walgreen Co
Iom Health System Lp
Iom Health System Lp
Iom Health System Lp
Iom Health Systems, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 153
Additional practice sites
- 702 Van Buren St, Fort Wayne, IN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana