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Stephanie L Bohannon, PMHNP,APRN
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Arkansas
NPI 1104459114

Stephanie L Bohannon is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, AR and is specialized in Psychiatric/Mental Health. Stephanie L Bohannon practices in Fayetteville, AR and has the professional credentials of PMHNP,APRN. The NPI Number for Stephanie L Bohannon is 1104459114 and holds a License No. 124030 (Arkansas).

The current practice location address for Stephanie L Bohannon is 2566 E Joyce Blvd Ste 2, Fayetteville, AR and can be reached out via phone at 479-935-1000 and via fax at 479-935-9200.

Location: 2566 E Joyce Blvd Ste 2, Fayetteville, AR, 72703-3923
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Provider Profile Details
NPI Number
1104459114
Provider Name
Stephanie L Bohannon
Credential
PMHNP,APRN
Provider Entity Type
Individual
Gender
Female
Address
2566 E Joyce Blvd Ste 2, Fayetteville, AR, 72703-3923
Phone Number
479-935-1000
Fax Number
479-935-9200
Provider Enumeration Date
02/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
259152758 05 AR
420098635 05 MO
institution
Provider Business Practice Location Address Details
Address
2566 E Joyce Blvd Ste 2
City
State
Zip
72703-3923
Phone Number
479-935-1000
Fax Number
479-935-9200
person
Provider Business Mailing Address Details
Address
2566 E Joyce Blvd Ste 2
City
State
Zip
72703-3923
Phone Number
479-935-1000
Fax Number
479-935-9200
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
124030 (Arkansas)
Definition
Definition to come...
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