Individual
JANICE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 HOSPITAL DRIVE, CLINTWOOD, VA 24226-0312
(276) 926-0200
Mailing address
PO BOX 1440, CLINTWOOD, VA 24228-1440
(276) 926-0200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017001384
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1218946
CHA HEALTH
—
01
—
DC7419
RAILROAD MEDICARE GROUP #
VA
01
—
P00206182
RAILROAD MEDICARE
VA
01
—
TN0105
JOHN DEERE HEALTH
—
Enumeration date
07/26/2006
Last updated
07/08/2007
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