Madisen Tayler Stacks
Madisen Tayler Stacks is a Nurse Practitioner in Lake Dallas, Texas. Qualified in 2020, 6 years ago. Practices with Lake Dallas Family Medicine PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.
- Years since qualifying
- 6
- Licensed in
- TX
- In the registry since
- 2021
Practice location Address checks out
503 Main St Ste CLake Dallas, TX 75065-2878
Phone: (940) 535-5296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1029434 (TX) |
|---|
Record details
| NPI number | 1063004158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2021 |
| Last updated in NPPES | August 24, 2021 |
| Certification date | August 24, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Lake Dallas Family Medicine Pllc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Lake Dallas
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MS. Carmen Phillips White, FNP-BC
503 Main St Ste C, Lake Dallas, TX 75065-2878 · (940) 535-5296