Healthcare Provider Details

I. General information

NPI: 1275918492
Provider Name (Legal Business Name): DEVON ELISE SHEARMIRE P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 NE 10TH ST
ABILENE KS
67410-2153
US

IV. Provider business mailing address

511 NE 10TH ST
ABILENE KS
67410-2153
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-6661
  • Fax: 785-263-6663
Mailing address:
  • Phone: 785-263-6661
  • Fax: 785-263-6663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: