Provider Demographics
NPI:1790390300
Name:FOPA-YEMELI, STELLE DARELLE (NP-C)
Entity type:Individual
Prefix:
First Name:STELLE DARELLE
Middle Name:
Last Name:FOPA-YEMELI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 TRELLIS DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4489
Mailing Address - Country:US
Mailing Address - Phone:469-493-1142
Mailing Address - Fax:
Practice Address - Street 1:601 N SAGINAW BLVD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1224
Practice Address - Country:US
Practice Address - Phone:682-286-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893884163W00000X
TX1790390300363LF0000X, 363LP2300X
TX1016143363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care