MRS. JACQUELINE CRADY SHEPARD CNA NPI 1881187672

NPI Information

NPI: 1881187672
Provider Name: MRS. JACQUELINE CRADY SHEPARD, CNA
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
85147 CRADY LAKE DR
YULEE, FL
ZIP 32097
Phone: (904) 646-7576
Get Directions

MRS. Jacqueline Crady Shepard, CNA is a personal care attendant technician in Yulee, FL. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards MRS. Jacqueline Crady Shepard, CNA NPI is 1881187672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

85147 CRADY LAKE DR
YULEE, FL
ZIP 32097-849
Phone: (904) 646-7576

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	372500000X	Chore Provider		CNA254629	FLORIDA	No
2	372600000X	Adult Companion		CNA254629	FLORIDA	No
3	3747P1801X	Technician	Personal Care Attendant	CNA254629	FLORIDA	Yes
4	374U00000X	Home Health Aide		CNA254629	FLORIDA	No
5	376K00000X	Nurse's Aide		CNA254629	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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