Individual
STEPHANIE LAUREN CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
801 W CANNON ST, FORT WORTH, TX 76104-3147
(817) 250-7195
Mailing address
801 W CANNON ST, FORT WORTH, TX 76104-3147
(817) 250-7195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP133929
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP133929
TX
Other
Enumeration date
05/18/2017
Last updated
04/16/2026
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