Individual
MRS. STEPHANIE LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
801 MATLOCK RD, MANSFIELD, TX 76063-9174
(817) 347-8400
(817) 347-8495
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP117460
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP117460
TX
Other
Enumeration date
05/07/2009
Last updated
05/11/2021
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