| Shepherd Clinical Services, LLC | |
|
49 Old Hickory Blvd Jackson TN 38305-4551 | |
| (731) 343-8336 | |
| (731) 213-1915 |
| Full Name | Shepherd Clinical Services, LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 49 Old Hickory Blvd, Jackson, Tennessee |
| Authorized Official Name and Position | Kristen Hansen (ADMINISTRATOR) |
| Authorized Official Contact | 7313438336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherd Clinical Services, LLC 29 N Star Dr Suite D Jackson TN 38305-6656 Ph: (731) 343-8336 | Shepherd Clinical Services, LLC 49 Old Hickory Blvd Jackson TN 38305-4551 Ph: (731) 343-8336 |
| NPI Number | 1548704620 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548704620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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