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Individual

MERISSA TARA MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC

Contact information

Practice address
5038 TENNYSON PKWY # 100B, PLANO, TX 75024-2954
(972) 200-8144
(469) 991-7710
Mailing address
5038 TENNYSON PKWY STE 100B, PLANO, TX 75024-2954
(972) 200-8144
(469) 991-7710

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
845650
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1192320
TX

Other

Enumeration date
03/10/2025
Last updated
11/05/2025
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