Provider Demographics
NPI:1386003564
Name:TALKINGTON, MICHAEL NEIL (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:NEIL
Last Name:TALKINGTON
Suffix:
Gender:M
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 N US HWY 75
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-0067
Mailing Address - Country:US
Mailing Address - Phone:469-765-1600
Mailing Address - Fax:903-375-0801
Practice Address - Street 1:4028 N US HWY 75
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-0067
Practice Address - Country:US
Practice Address - Phone:469-765-1600
Practice Address - Fax:903-375-0801
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0083276363LF0000X
TXAP134438363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily