Individual provider · Type 1 NPI
Shannon Larie Mitchell, RN-ACNP
Acute Care Nurse Practitioner · Texarkana, TX
NPI number
1669665964
Active
Practice location
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Fax (903) 614-3525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 653277 (TX) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP115188 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669665964
Shannon Larie Mitchell, RN-ACNP's National Provider Identifier is 1669665964, issued on Aug 21, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Texarkana, TX. The record was last updated on Aug 3, 2015.