DIEDRE LEE SHEPARD Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001705

License Status

ACTIVE

Business

First Name

DIEDRE

Middle

LEE

Last Name

SHEPARD

Business Name

DIEDRE LEE SHEPARD

Original Issue Date

12/07/2021

Effective Date

06/23/2024

Expiration Date

05/31/2026

City

PROVIDENCE VILLAGE

State

Zip

76227

Ever Disciplined

LastModifiedDate

03/02/2026