Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander Elijah Shepard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417786625

Alexander Elijah Shepard is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908
Phone: (479) 713-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417786625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

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