Most Relevant Information
Provider Data
| NPI Number: | 1003052846 |
| Provider Name: | NICHOLE DEVERAUX SHEARER FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 721152 |
Most Important Dates
| Enumeration Date: | 12/29/2008 |
| Last Updated: | 01/26/2010 |
Provider Practice Location
601 CLARA BARTON BLVD
SUITE 200
GARLAND
TX
750425738
Practice Location Phone/Fax
| Phone: | 9722726561 |
| Fax: |
Provider Mailing Location
601 CLARA BARTON BLVD
SUITE 200
GARLAND
TX
750425738
Provider Mailing Phone/Fax
| Phone: | 9722726561 |
| Fax: |