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Individual

ISA PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
1313 SAWGRASS CT, MAYS LANDING, NJ 08330-3248
(609) 442-1563
Mailing address
1313 SAWGRASS CT, MAYS LANDING, NJ 08330-3248
(609) 442-1563

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR16957300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01392900
NJ

Other

Enumeration date
11/01/2022
Last updated
11/17/2022
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