Provider Demographics
NPI:1275649246
Name:ADAMS, SHEILA J (FNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:JOLENE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:426 N GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4324
Mailing Address - Country:US
Mailing Address - Phone:940-612-8790
Mailing Address - Fax:
Practice Address - Street 1:801 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-3573
Practice Address - Country:US
Practice Address - Phone:940-612-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D2563OtherMEDICARE ID
TX8N8638OtherBLUECROSS BLUESHIELD
TX8D2563OtherMEDICARE ID