Provider Demographics
NPI:1225599681
Name:SHERMAN, NICOLE BROOKE (WHNP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:BROOKE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 FOX RUN
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-6388
Mailing Address - Country:US
Mailing Address - Phone:805-906-5698
Mailing Address - Fax:
Practice Address - Street 1:306 N LOOP 288 STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-4958
Practice Address - Country:US
Practice Address - Phone:940-381-1501
Practice Address - Fax:940-591-7830
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1026008363LW0102X
CA95011266363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX425515002Medicaid