Nathaniel Leif Shepard

Physician Assistant · Ardmore, OK

Individual Active NPI

NPI number 1225963267

Practice location

1235 12TH Ave NW
Ardmore, OK 73401-1578
Phone
(580) 222-0400

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NPI record

NPI
1225963267
Entity type
Individual (Type 1)
Enumeration date
June 12, 2026
Last updated
June 12, 2026
Certified
June 12, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Nathaniel Shepard

Nathaniel Leif Shepard is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1235 12TH Ave NW, Ardmore, OK 73401-1578. The NPI number 1225963267 was assigned on June 12, 2026 and the record was last updated on June 12, 2026.

Frequently asked questions

What is the NPI number of Nathaniel Leif Shepard?

The NPI number is 1225963267.

What is the phone number of Nathaniel Shepard?

The phone number listed for the practice location is (580) 222-0400.

Where is Nathaniel Shepard located?

1235 12TH Ave NW, Ardmore, OK 73401-1578.

What is the taxonomy code for Nathaniel Shepard?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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