Healthcare Provider Details

I. General information

NPI: 1851921357
Provider Name (Legal Business Name): CHERYL ANN SHOVAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 S JEFFERSON AVE
MOUNT PLEASANT TX
75455-5614
US

IV. Provider business mailing address

2001 N JEFFERSON AVE
MOUNT PLEASANT TX
75455-2338
US

V. Phone/Fax

Practice location:
  • Phone: 903-572-2273
  • Fax: 903-572-0696
Mailing address:
  • Phone: 903-577-2273
  • Fax: 903-434-7039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1044091
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number856403
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1044091
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: