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Individual
MS. VICTORIA SUE PAYNE
Active
Individual
MS. VICTORIA SUE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041.396677
IL
363LF0000X
Family Nurse Practitioner
Primary
209.019427
IL
363LF0000X
Family Nurse Practitioner
Primary
277003167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.019427
IL STATE NURSE PRACTITIONER LICENSE
IL
Enumeration date
05/19/2019
Last updated
05/28/2026
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