Individual
JASON DEAN SHEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
12809 THOMAS JEFFERSON ST, MANOR, TX 78653-3921
(936) 645-0166
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP08210
LA
363LA2100X
Acute Care Nurse Practitioner
AP126886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07750381
—
MS
05
—
2390741
—
LA
Enumeration date
04/08/2015
Last updated
12/17/2015
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