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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104459114

Stephanie L Bohannon, PMHNP, APRN is a Nurse Practitioner in Fayetteville, Arkansas. Graduated from University of South Alabama College of Medicine in 2019, 7 years ago. Practices with Reding and Leach MD PLLC, a 62-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
7
Trained at
University of South Alabama College of Medicine
Licensed in
AR
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2566 E Joyce Blvd Ste 2
Fayetteville, AR 72703-3923
Phone: (479) 935-1000
Fax: (479) 935-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 105 N Mill Ave, Fayetteville, AR 72701-4273 — (479) 713-8350

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 124030 (AR)

Record details

NPI number1104459114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , APRN
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Reding And Leach Md Pllc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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