Healthcare Provider Details

I. General information

NPI: 1003052846
Provider Name (Legal Business Name): NICHOLE DEVERAUX SHEARER PMHNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

IV. Provider business mailing address

7300 ELDORADO PKWY STE 270
MCKINNEY TX
75070-3590
US

V. Phone/Fax

Practice location:
  • Phone: 469-712-5481
  • Fax: 469-270-8031
Mailing address:
  • Phone: 469-712-5481
  • Fax: 469-270-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP115996
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: