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Individual
JENNIFER ANN PAYNE
Active
Individual
JENNIFER ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
14-129383-091
KS
363L00000X
Nurse Practitioner
Primary
79487
KS
Other
Enumeration date
02/25/2020
Last updated
10/27/2023
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