Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martha Corinna Mangum, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1619317336

Martha Corinna Mangum, ACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Michigan and Texas.

Years since qualifying
13
Licensed in
MI, TX
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

5959 Harry Hines Blvd Pob 1 10th Fl Ste HP10.110
Dallas, TX 75390-8879
Phone: (214) 645-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP131259 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704258437 (MI)

Record details

NPI number1619317336
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJanuary 9, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas