Individual
JAYLEN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
525 TECHNOLOGY PARK STE 109, LAKE MARY, FL 32746-7107
(407) 647-2346
Mailing address
8801 PATHSTONE BLVD APT 2403, PENSACOLA, FL 32526-4557
(662) 304-6580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
913738
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11043349
FL
Other
Enumeration date
04/09/2024
Last updated
01/23/2026
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