Individual
MRS. STACEY LASANDRA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(678) 590-1232
(470) 381-1502
Mailing address
1415 HIGHWAY 85 N STE 310-390, FAYETTEVILLE, GA 30214-7738
(470) 381-1502
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
203475
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403153
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245794387
NPI
GA
Enumeration date
01/23/2019
Last updated
09/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us