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ROBYN LEE SHEPHERD ANP, CNS/PMH
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1285694828
Individual Registrant: ROBYN LEE SHEPHERD ANP, CNS/PMH
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
701 ALLGOOD ST TRION, GA 30753-1357 US
Tel: 706-734-2003 Fax: 706-734-2099
Tel: 706-734-2003 Fax: 706-734-2099
Contact information for business:
701 ALLGOOD ST PO BOX 880 TRION, GA 30753-1357 US
Tel: 706-734-2003 Fax: 706-734-2099
Tel: 706-734-2003 Fax: 706-734-2099
Registration Information:
NPI: 1285694828
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN046097 |
| N | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | GA | RN046097 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00548182C | GA | 05 |
