Individual provider · Type 1 NPI

Stephani Marie Elliott, AGPCNP

Nurse Practitioner · Plano, TX

NPI number 1225640998 Active

Practice location

3108 Midway Rd Ste 104
Plano, TX 75093-8485

Fax (972) 398-0499

Mailing address

950 E State Highway 114 Ste 200
Southlake, TX 76092-5261

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X1005230 (TX)
Nurse Practitioner Primary 363L00000X1005230 (TX)
Gerontology Nurse Practitioner 363LG0600X1005230 (TX)
Adult Health Nurse Practitioner 363LA2200X1005230 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225640998

Stephani Marie Elliott, AGPCNP's National Provider Identifier is 1225640998, issued on Aug 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plano, TX. The record was last updated on Jun 2, 2026.