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ABI MIKKEL PROVENCE MSN, FNP-BC & FNP-C
NPI 1922587872
Nurse Practitioner - Primary Care in Arlington, TX

Active since August 11, 2018
6108 SHOREWOOD DR, ARLINGTON, TX 76016(817) 435-2812 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2019, Aug 11, 2018 (2 updates tracked since 2018).

About Abi Mikkel Provence Msn, Fnp-bc & Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABI MIKKEL PROVENCE MSN, FNP-BC & FNP-C (NPI 1922587872) is an individual primary care provider in Arlington, Texas, licensed in Texas (AP138443) and active in the NPI registry since August 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922587872
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameABI MIKKEL PROVENCECredential: MSN, FNP-BC & FNP-C
Location Address6108 SHOREWOOD DRArlington, TX 76016-2649
Mailing AddressPo Box 170428Arlington, TX 76003-0428 · (817) 729-7853
Phone(817) 435-2812
Sole ProprietorNo
Enumeration DateAugust 11, 2018
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
✔ NPI 1922587872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP138443
6108 SHOREWOOD DR, Arlington, TX 76016
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11811 Highway 287 NMansfield, TX 76063-7571
Location 24740 W University Dr Ste 190Prosper, TX 75078-9092 · Phone (469) 716-4950 · Fax (469) 716-4950

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISSION HAVEN REDIEMED
Family Medicine
6108 SHOREWOOD DR
ARLINGTON, TX 76016
Tarrant County (817) 435-2812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abi Provence's NPI number?

The NPI number for Abi Provence is 1922587872. It was assigned to this individual provider in the NPPES registry on August 11, 2018.

Where is Abi Provence located?

Abi Provence practices at 6108 Shorewood Dr, Arlington, TX 76016. The listed phone number is (817) 435-2812.

What is Abi Provence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Abi Provence was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.