Individual provider · Type 1 NPI

Stacey Mitchum, FNP-C

Family Nurse Practitioner · Kyle, TX

NPI number 1669822151 Active

Practice location

5401 FM 1626
Kyle, TX 78640-6038

Mailing address

205 Reimer Ave
San Marcos, TX 78666-5003

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP131144 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1669822151

Stacey Mitchum, FNP-C's National Provider Identifier is 1669822151, issued on Jun 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kyle, TX. The record was last updated on Jun 15, 2016.