Individual
CHANELLE FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PMHNP-BC
Contact information
Practice address
8223 MIRAR PASS, SAN ANTONIO, TX 78255-3313
(210) 823-0178
Mailing address
8223 MIRAR PASS, SAN ANTONIO, TX 78255-3313
(210) 823-0178
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
913116
TX
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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