Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Larie Mitchell, RN-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1669665964

Shannon Larie Mitchell, RN-ACNP is a Nurse Practitioner in Texarkana, Texas. Graduated from University of Arkansas College of Medicine in 2006, 20 years ago. Practices with Collom and Carney Clinic Association, a 52-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Trained at
University of Arkansas College of Medicine
Licensed in
TX
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP115188 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 653277 (TX)

Record details

NPI number1669665964
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN-ACNP
Sole proprietorNo
NPI enumeratedAugust 21, 2007
Last updated in NPPESAugust 3, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Collom And Carney Clinic Association — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Texarkana