Amy Balducci Shepherd in Jackson - Pediatric Emergency Medicine
Amy Balducci Shepherd - NPI 1881638666
Amy Balducci Shepherd is a Pediatric Emergency Medicine in Jackson, Mississippi. Amy Balducci Shepherd practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Amy Balducci Shepherd is 1881638666. The last update date is 2012-06-12.
Amy Balducci Shepherd's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842000. The mailing address for Amy Balducci Shepherd is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Balducci Shepherd |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019842000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1881638666 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2012-06-12 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019842000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 18335 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121927 | MS | -- | |
| 1461032 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amy Balducci Shepherd by the Centers for Medicare & Medicaid Services?
The Amy Balducci Shepherd has been issued the NPI (National Provider Identifier) 1881638666, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amy Balducci Shepherd is physically located?
The Amy Balducci Shepherd is situated at the following address: 2500 N State St, Jackson, MS 392164500.
What is Amy Balducci Shepherd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Amy Balducci Shepherd is Pediatric Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 2080P0204X.
When did the Amy Balducci Shepherd receive its 1881638666?
The Amy Balducci Shepherd was issued its 1881638666 on 2006-06-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Amy Balducci Shepherd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amy Balducci Shepherd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-12.
NPI Number: 1528061793
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