Provider Demographics
NPI:1124356415
Name:SHEARER, DEBRA LYNN (EDD, MSN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:SHEARER
Suffix:
Gender:F
Credentials:EDD, MSN, PMHNP-BC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LYNN
Other - Last Name:CONNOLLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1630 ROUTE 322 UNIT E
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-3701
Mailing Address - Country:US
Mailing Address - Phone:856-418-0808
Mailing Address - Fax:
Practice Address - Street 1:1630 ROUTE 322 UNIT E
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-3701
Practice Address - Country:US
Practice Address - Phone:856-418-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00795800363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health