SHEPARD STACY D
Debarred entityBorn 13 Oct 1975 (51 years old),United States. Named in 4 sanctions listings.
Summary
License number: PN283102
Sanctions and listings4
- Effective
- 20 May 2026
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Effective
- 20 May 2026
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 May 2026
Official designation
Pennsylvania Department of Human ServicesUS Delaware Medicaid Sanctioned ProvidersUnited States
- Effective
- 20 May 2026
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
Positions held2
Period not retained
NURSE/NURSES AIDE (IND- LIC HC SERV PRO)
Period not retained
LPN
Identifiers2
| Identifier | Number |
|---|---|
| ID number | PN283102 |
| ID number | 00294256 |
Other names2
Also known as2
Addresses2
1015 N LEHIGH AVE, SAYRE, PA 18840
Bradford, PA
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