Individual
LEONTYNE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
COLLEGE OF NURSING 874 UNION AVENUE RM 325, MEMPHIS, TN 38163-3022
(901) 448-6128
Mailing address
3250 MCCORKLE RD, MEMPHIS, TN 38116-3022
(901) 340-8049
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
239569
TN
163WM0102X
Maternal Newborn Registered Nurse
239569
TN
374J00000X
Doula
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
09/17/2024
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