NPI 1003686908

Jacqueline Shepard

Practitioner Physician Assistant Fort Wayne, IN

Practice location

Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Mailing address: 5913 Hallowell Pl, Fort Wayne, IN 46815-6214

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Indiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10004291A (IN)

Registry record

NPI: 1003686908
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2024
Record last updated: 30 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.