Dr. Amy Balducci Shepherd
M.D. | Pediatric Emergency Medicine | Female
Dr. Amy Balducci Shepherd, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Amy Balducci Shepherd is
2500 N State St, Jackson, Mississippi - 39216-4500. She can be contacted on phone at
601-984-2000.
Dr. Amy Balducci Shepherd is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Amy Balducci Shepherd is
1881638666 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 12 Jun, 2012.
Dr. Amy Balducci Shepherd license number is
18335 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Mississippi.
Dr. Amy Balducci Shepherd has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Amy Balducci Shepherd basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Amy Balducci Shepherd |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Amy Balducci Shepherd address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881638666 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 12 Jun, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Amy Balducci Shepherd are as mentioned. Primary taxonomy code for Dr. Amy Balducci Shepherd, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 18335 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Amy Balducci Shepherd such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00121927 | MEDICAID | MS | |
| 1461032 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2000 |
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Business Location:
Patients can refer following map for directions to
Dr. Amy Balducci Shepherd practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.