Provider Demographics
NPI:1447955257
Name:SHEPHARD, HANNAH ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:SHEPHARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4966 CAMERON VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3349
Mailing Address - Country:US
Mailing Address - Phone:412-737-0189
Mailing Address - Fax:
Practice Address - Street 1:1908 E FRANKLIN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-4742
Practice Address - Country:US
Practice Address - Phone:704-271-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-13363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant