Stephanie L Bohannon
PMHNP, APRN | Nurse Practitioner - Psych/Mental Health | 6+ years Exp
2566 E Joyce Blvd Ste 2, Fayetteville
Arkansas, 72703-3923
479-935-1000
Stephanie L Bohannon is a Fayetteville, Arkansas based nurse practitioner with 6 years of experience in Psych/Mental Health. She completed her graduation from University Of South Alabama College Of Medicine in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephanie L Bohannon is 124030 for Psych/Mental Health in Arkansas. Her current practice location is 2566 E Joyce Blvd Ste 2, Fayetteville. Patients can reach her at 479-935-1000 or can fax her at 479-935-9200. Stephanie L Bohannon is PMHNP, APRN with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1104459114.
Stephanie L Bohannon provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Stephanie L Bohannon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Stephanie L Bohannon |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP, APRN |
| Experience: | 6+ years |
| Medical School Attended: | University Of South Alabama College Of Medicine |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2566 E Joyce Blvd Ste 2, Fayetteville,
Arkansas, 72703-3923 |
| Phone: | 479-935-1000 |
| Fax: | 479-935-9200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5496168031 |
| Enrollment ID: | I20201229000043 |
| NPI Number: | 1104459114 |
| NPI Enumeration Date: | 18 Feb, 2020 |
| NPI Last Update On: | 21 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie L Bohannon are as mentioned below.
| License Number | Specialization | State | Status | |
| 124030 | Psych/Mental Health | Arkansas | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stephanie L Bohannon is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Reding And Leach Md Pllc (7012258627) | 20 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephanie L Bohannon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 259152758 | Medicaid | Arkansas | |
| 420098635 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stephanie L Bohannon
2566 E Joyce Blvd Ste 2,
Fayetteville, Arkansas |
| Zip: | 72703-3923 |
| Phone Number: | 479-935-1000 |
| Fax Number: | 417-350-1935 |
Patients can reach Stephanie L Bohannon at
2566 E Joyce Blvd Ste 2, Fayetteville, Arkansas or can
call to book an appointment on 479-935-1000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.