Hazel-wood Shelaya Shepherd, LPN is a
Licensed Practical Nurse based in Jackson, New Jersey. Hazel-wood Shelaya Shepherd is licensed to practice in New York (license number 272298-1) and her current practice location is
6 Sarah Ct, Jackson, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 833-8140.
NPI number for Hazel-wood Shelaya Shepherd is 1922268440 and her current mailing address is 6 Sarah Court, Jackson, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922268440.
Provider's Profile
| Full Name | Hazel-wood Shelaya Shepherd |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 6 Sarah Ct, Jackson, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922268440
- Provider Enumeration Date: 06/10/2008
- Last Update Date: 06/10/2008
Medical Identifiers
Medical identifiers for Hazel-wood Shelaya Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922268440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 272298-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hazel-wood Shelaya Shepherd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Hazel-wood Shelaya Shepherd, LPN
6 Sarah Court,
Jackson, NJ 08527-4760
Ph: (732) 833-8140 | Hazel-wood Shelaya Shepherd, LPN
6 Sarah Ct,
Jackson, NJ 08527-4760
Ph: (732) 833-8140 |
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