Payton Mady, FNP
Nurse Practitioner, Family in Dallas, TX. Individual provider (NPI-1).
NPI number1295541399
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1295541399
- Entity type
- Individual (NPI-1)
- Name
- Payton Mady
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1180603 | TX | Yes |
| 163W00000X | Registered Nurse | 986632 | TX |
Practice location
3888 Oak Lawn Ave Ste 108Dallas, TX 75219-4791
Phone 972-402-6863
Mailing address
2217 Clark St Apt EDallas, TX 75204-3510
Phone 817-798-1670
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