Individual
TRACY MAE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11653 CHAPMAN HWY, SEYMOUR, TN 37865-5099
(865) 773-0327
Mailing address
2624 MONTVALE RD, MARYVILLE, TN 37803-2837
(865) 307-1628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24368
TN
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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