Organization
PAYNE NURSING SERVICES, LLC
Active
Other names
Payne Nursing Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA PAYNE NP (OWNER)
(317) 779-1204
Entity
Organization
Contact information
Practice address
5999 W MEMORY LN STE 1, GREENFIELD, IN 46140-7294
(317) 779-1204
(317) 940-5759
Mailing address
6572 W CHARLESTON WAY, MCCORDSVILLE, IN 46055-9677
(317) 779-1204
(317) 940-5759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085440
—
IN
05
—
300097015
—
IN
Enumeration date
07/26/2024
Last updated
04/25/2025
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