Individual provider · Type 1 NPI

Macy Ayres, CPNP-PC

Pediatric Nurse Practitioner · Tyler, TX

NPI number 1295381010 Active

Practice location

2990 N Broadway Ave
Tyler, TX 75702-2149

Fax (903) 592-3886

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP142764 (TX)

Pediatric Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1295381010

Macy Ayres, CPNP-PC's National Provider Identifier is 1295381010, issued on Aug 16, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tyler, TX. The record was last updated on Jun 6, 2025.