Individual
KIMBERLY JEAN SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA. CNOR
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 890, FORT WORTH, TX 76104-2158
(817) 878-5333
(817) 878-5334
Mailing address
1325 PENNSYLVANIA AVE, SUITE 890, FORT WORTH, TX 76104-2158
(817) 878-5333
(817) 878-5334
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
240189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245007
CIGNA
TX
01
—
3205395
AETNA
TX
01
—
89N922
BCBS TEXAS
TX
Enumeration date
08/23/2006
Last updated
07/08/2007
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