Individual
MADISON KAY WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1620 FM 3344, JACKSBORO, TX 76458-3127
(940) 567-2272
Mailing address
1620 FM 3344, JACKSBORO, TX 76458-3127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1051609
TX
Other
Enumeration date
06/25/2024
Last updated
09/01/2025
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