Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edoghogho Stacy Edosonmwan, RN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356808901

Edoghogho Stacy Edosonmwan, RN is a Nurse Practitioner in Dallas, Texas. Qualified in 2022, 4 years ago. Practices with Dallas County Mental Health and Mental Retardation Center, a 69-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana and Texas.

Years since qualifying
4
Licensed in
LA, TX
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3230 Remond Dr
Dallas, TX 75211-1619
Phone: (214) 743-1200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1350 N Westmoreland Rd, Dallas, TX 75211-1654 — (214) 330-0036
  • 201 Amanda Ln Ste 100, Waxahachie, TX 75165-1391 — (469) 523-2646

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1116542 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 230297 (LA)

Record details

NPI number1356808901
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 1, 2019
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dallas County Mental Health And Mental Retardation Center — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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