Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Nicole Payne

Individual provider Family Nurse Practitioner · NPI 1962170852

Mallory Nicole Payne is a Nurse Practitioner in Garland, Texas. Qualified in 2021, 5 years ago. Practices with Guidestar Eldercare Neuro-Psychiatric Group - Texas PA, a 17-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone: (574) 546-1900
Fax: (574) 546-1999
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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 1048565 (TX)

Record details

NPI number1962170852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2021
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Guidestar Eldercare Neuro-Psychiatric Group - Texas Pa — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Garland