Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063672251 Individual Practitioner Female Practitioner

Jacqueline M Sheppard

Licensed Practical Nurse • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Jacqueline Sheppard is a registered healthcare professional specializing in Licensed Practical Nurse in Bronx, NY. Practice services are available at 140 DARROW PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 Darrow Pl
6 A

Bronx, NY 104751802

Telephone 7189742819
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1838 Specialists

Practicing in Bronx, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 293191-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Miyetta Thompkins

Occupational Therapy Assistant

NPI 1083986475
Holy Ofosu-Armaah

Case Manager/Care Coordinator

NPI 1124569876
Desiree Gowins , MSED

Developmental Therapist

NPI 1194080150

Master of Science in Education

Johnetta Miner , NP

Nurse Practitioner - Women's Health

NPI 1285624106

Nurse Practitioner

Deborah Thomas

Social Worker

NPI 1356057921
NPI 1407094758

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2008

Registered at 140 DARROW PL, 6 A, BRONX, NY 104751802 (Tel: 7189742819)

📍
Updated Business Mailing Address June 11, 2008

Registered at 140 DARROW PL, 6 A, BRONX, NY 104751802 (Tel: 7189742819)

👤
Provider Name / Credentials Updated June 11, 2008

Recorded as JACQUELINE SHEPPARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2008

Licensed Practical Nurse (License #293191-1 in NY)

🟢
Initial NPI Registration & Enumeration June 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063672251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2008
Last Update: June 11, 2008
Sole Proprietor: Yes

Mailing Address

140 Darrow Pl, 6 A

Bronx, NY 104751802

Phone: 7189742819

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.