Individual
MRS. ARGARET SHONTA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
6952 DOGWOOD MNR N STE 103, OLIVE BRANCH, MS 38654-2091
(662) 874-6921
(662) 932-6921
Mailing address
9027 GAVIN DR, OLIVE BRANCH, MS 38654-6462
(662) 356-3816
(662) 200-4217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26839
TN
363L00000X
Nurse Practitioner
903710
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26839
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903710
MS
Other
Enumeration date
11/14/2019
Last updated
10/20/2024
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