DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISEN TAYLER STACKS

Active Sole Proprietor

Family Nurse Practitioner · LAKE DALLAS, TX

Registration Details

NPI Number
1063004158
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2021 (5.2352033536637 yrs)
Last Updated
Aug 24, 2021
License
1029434 (TX)
Sole Proprietor
Yes

Practice Information

Address
503 MAIN ST STE C
LAKE DALLAS, TX, 750652878
Browse TX providers · Browse ZIP 75065
Phone
9405355296
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in LAKE DALLAS, TX

Name Credential NPI
MS. CARMEN PHILLIPS WHITE FNP-BC 1689831562
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.