Individual
JUSTIN MARSHALL PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
197 WILL WALKER RD, COLUMBIA, KY 42728-7436
(270) 384-9981
(270) 384-9989
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009520
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13586420
CAQH
—
05
—
7100350840
—
KY
Enumeration date
07/08/2015
Last updated
08/15/2023
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