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

Miss. Jacqueline Shepard

Individual provider Physician Assistant · NPI 1003686908

Miss. Jacqueline Shepard is a Physician Assistant in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Show map & directions

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

Additional practice locations (1)

  • 702 Van Buren St, Fort Wayne, IN 46802-3697 — (856) 686-4341

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 10004291A (IN)

Record details

NPI number1003686908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address5913 Hallowell Pl, Fort Wayne, IN 46815-6214

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