Mrs. Nichole Deveraux Shearer
Nurse Practitioner - Family Medicine
601 Clara Barton Blvd Suite 200
Garland
, Texas 75042-5738
Mrs. Nichole Deveraux Shearer
Nurse Practitioner - Family Medicine
601 Clara Barton Blvd Suite 200
Garland
, Texas 75042-5738
(972) 272-6561
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Nichole Deveraux Shearer
- 601 Clara Barton Blvd Suite 200
- Garland, TX
- Zip : 75042-5738
- Phone : (972) 272-6561
Second Address
- Mrs. Nichole Deveraux Shearer
- 601 Clara Barton Blvd Suite 200
- Garland, TX
- Zip : 75042-5738
- Phone : (972) 272-6561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 721152 | TX |
National Provider Identifier
| NPI | 1003052846 |
|---|---|
| Provider Name | Mrs. Nichole Deveraux Shearer |
| First Address | Garland, TX 75042-5738 |
| Second Address | Garland, TX 75042-5738 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2008 |
| Last Update Date | 26/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.