Individual
TAYLOR PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9130
Mailing address
12992 MEADOW VIEW DR, OLIVE BRANCH, MS 38654-6018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
907385
MS
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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