Provider Demographics
NPI:1346000197
Name:PALACIOS, NANCY (APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4029
Mailing Address - Country:US
Mailing Address - Phone:214-725-5625
Mailing Address - Fax:
Practice Address - Street 1:9780 LYNDON B JOHNSON FWY STE 124
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6847
Practice Address - Country:US
Practice Address - Phone:469-317-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059104363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily