Brenda K Shepherd, NP is a
Nurse Practitioner - Family physician based in Jackson, Mississippi. Brenda K Shepherd is licensed to practice in Mississippi (license number 748207) and her current practice location is 2500 North State Street, Department Of Medicine/division Of Hypertension, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 984-6850.
NPI number for Brenda K Shepherd is 1326072620 and her current mailing address is 917 Mount Elam Church Rd, Pearl, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326072620.
Physician's Profile
| Full Name | Brenda K Shepherd |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2500 North State Street, Jackson, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326072620
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 10/27/2025
Medical Identifiers
Medical identifiers for Brenda K Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326072620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | R748207 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 748207 (Mississippi) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 748207 (Mississippi) | Secondary |
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. Brenda K 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 |
|---|
Brenda K Shepherd, NP
917 Mount Elam Church Rd,
Pearl, MS 39208-9184
Ph: () - | Brenda K Shepherd, NP
2500 North State Street, Department Of Medicine/division Of Hypertension,
Jackson, MS 39216-4500
Ph: (601) 984-6850 |
Reviews and Comments