Provider Demographics
NPI:1225891310
Name:SHEPHERD, RACHEL OLIVIA (PA-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:OLIVIA
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:261 CAMDEN RD
Mailing Address - Street 2:
Mailing Address - City:MILLERS CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:28651-8626
Mailing Address - Country:US
Mailing Address - Phone:336-984-1227
Mailing Address - Fax:
Practice Address - Street 1:1925 W PARK DR
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3564
Practice Address - Country:US
Practice Address - Phone:336-903-0147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant