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

Jack Douglas Shepherd III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093551202

Jack Douglas Shepherd III is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1919 7th Ave S
Birmingham, AL 35233-2005
Phone: (205) 934-3387
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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 number1093551202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 7, 2024

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