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Individual

EMILY J PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
819 S 3RD ST, CLINTON, IN 47842-2205
(765) 832-2464
(765) 832-1638
Mailing address
PO BOX 266, CLINTON, IN 47842-0266
(765) 832-9301
(765) 832-9302

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013496A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71013496A
STATE LICENSE
IN
Enumeration date
01/23/2023
Last updated
01/23/2023
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