Individual provider · Type 1 NPI
Stephanie L. Bohannon, PMHNP, APRN
Psychiatric/Mental Health Nurse Practitioner · Fayetteville, AR
NPI number
1104459114
Active
Practice location
2566 E Joyce Blvd Ste 2
Fayetteville, AR 72703-3923
Fax (479) 935-9200
Other practice locations
- 105 N Mill Ave, Fayetteville, AR 72701-4273 · (479) 713-8350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 124030 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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- Tammie Michelle Smith, ACNS-BCPsychiatric/Mental Health Nurse Practitioner Fayetteville, AR NPI 1255546974
About NPI 1104459114
Stephanie L. Bohannon, PMHNP, APRN's National Provider Identifier is 1104459114, issued on Feb 18, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 21, 2022.