Individual provider · Type 1 NPI
Madison Black, MSN, APRN, FNP-BC
Nurse Practitioner · Portland, TX
Practice location
421 San Saba Dr
Portland, TX 78374-1208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1091892 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Portland
About NPI 1922961978
Madison Black, MSN, APRN, FNP-BC's National Provider Identifier is 1922961978, issued on Dec 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, TX. The record was last updated on Sep 16, 2026.