Individual
JENNIFER ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2630
Mailing address
1602 E CRESTWAY DR, GARDEN CITY, KS 67846-6917
(812) 343-7433
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
14-129383-091
KS
363L00000X
Nurse Practitioner
Primary
79487
KS
Other
Enumeration date
02/25/2020
Last updated
10/27/2023
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