| Doctor Name: | TONYA SHEPHERD |
| NPI Number: | 1194109777 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3009497 |
| Business Practice Address: | 428 E Main St Inez, KY - 412248931 |
| Business Phone Number: | 6062982520 |
| Business Fax Number: | 6062982522 |
| Mailing Address: | 4851 Ky Route 321, PRESTONSBURG |
| State: | KY |
| Postal Code: | 416539113 |
| Phone Number: | 6068861173 |
| Fax Number: | 6068862193 |
| NPI Enumeration Date: | 07/14/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3009497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |