Provider Demographics
NPI:1124537741
Name:GEARN, TERRA SHEA (FNP-C)
Entity Type:Individual
Prefix:
First Name:TERRA
Middle Name:SHEA
Last Name:GEARN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:FARWELL
Mailing Address - State:TX
Mailing Address - Zip Code:79325-0245
Mailing Address - Country:US
Mailing Address - Phone:806-481-7000
Mailing Address - Fax:806-481-1006
Practice Address - Street 1:1801 HALSTEAD ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1830
Practice Address - Country:US
Practice Address - Phone:806-418-6886
Practice Address - Fax:806-418-6884
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133231363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner