Individual
MRS. JILL KATHLEEN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5185
Mailing address
21282 INSPIRATION CT, LAKEVILLE, MN 55044-6027
(507) 398-4791
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 169601-5
MN
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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