person
Mrs. Stacey Lasandra Mitchell, NP
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia
NPI 1245794387

Stacey Lasandra Mitchell is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, GA and is specialized in Psychiatric/Mental Health. Stacey Lasandra Mitchell practices in Fayetteville, GA and has the professional credentials of NP. The NPI Number for Stacey Lasandra Mitchell is 1245794387 and holds a License No. 403153 (Georgia).

The current practice location address for Stacey Lasandra Mitchell is 1255 Highway 54 W, Fayetteville, GA and can be reached out via phone at 478-464-8134.

Location: 1255 Highway 54 W, Fayetteville, GA, 30214-7738
person
Provider Profile Details
NPI Number
1245794387
Provider Name
Stacey Lasandra Mitchell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1255 Highway 54 W, Fayetteville, GA, 30214-7738
Phone Number
478-464-8134
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245794387 01 GA NPI
institution
Provider Business Practice Location Address Details
Address
1255 Highway 54 W
City
State
Zip
30214-4526
Phone Number
478-464-8134
Fax Number
person
Provider Business Mailing Address Details
Address
1255 Highway 54 W
City
State
Zip
30214-4526
Phone Number
478-464-8134
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
403153 (New York)
Definition
Definition to come...
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