Provider Demographics
NPI:1447711833
Name:SPEARS, SHEILA DAWN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:DAWN
Last Name:SPEARS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1100 W REYNOSA AVE
Mailing Address - Street 2:
Mailing Address - City:DE LEON
Mailing Address - State:TX
Mailing Address - Zip Code:76444-3942
Mailing Address - Country:US
Mailing Address - Phone:254-893-5895
Mailing Address - Fax:888-895-1214
Practice Address - Street 1:2100 CROCKETT DRIVE.
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3953
Practice Address - Country:US
Practice Address - Phone:325-646-0704
Practice Address - Fax:888-892-1214
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0997431-NP207Q00000X
TXAP140913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60955389OtherLICENSE
WARN60955387OtherLICENSE
WA2130840Medicaid