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Mallory Nicole Payne
Family Nurse Practitioner in Garland, Texas
NPI 1962170852

Mallory Nicole Payne is a Family Nurse Practitioner based in Fort Wayne, TX and is specialized in Family. Mallory Nicole Payne practices in Garland, TX. The NPI Number for Mallory Nicole Payne is 1962170852 and holds a License No. 1048565 (Texas).

The current practice location address for Mallory Nicole Payne is 675 Town Square Blvd Ste 200, Garland, TX and can be reached out via phone at 574-546-1900 and via fax at 574-546-1999.

Location: 675 Town Square Blvd Ste 200, Garland, TX, 46855-1114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962170852
Provider Name
Mallory Nicole Payne
Credential
Provider Entity Type
Individual
Gender
Female
Address
675 Town Square Blvd Ste 200, Garland, TX, 46855-1114
Phone Number
574-546-1900
Fax Number
574-546-1999
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
675 Town Square Blvd Ste 200
City
Garland
State
Texas
Zip
75040-2991
Phone Number
574-546-1900
Fax Number
574-546-1999
person
Provider Business Mailing Address Details
Address
675 Town Square Blvd Ste 200
City
Garland
State
Texas
Zip
75040-2991
Phone Number
574-546-1900
Fax Number
574-546-1999
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1048565 (Texas)
Definition
Definition to come...
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