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Individual
TEDDI STEPHANIE SHEAROUSE
Active
Individual
TEDDI STEPHANIE SHEAROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
654758
TX
363LF0000X
Family Nurse Practitioner
Primary
654758
TX
364SA2200X
Adult Health Clinical Nurse Specialist
654758
TX
Other
Enumeration date
12/12/2007
Last updated
07/09/2021
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