Individual
AMANDA REBEKAH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGPCNP-BC
Contact information
Practice address
540 CHAPEL DR, MEXIA, TX 76667-3490
(254) 562-1454
(254) 562-1018
Mailing address
PO BOX 110, CHILTON, TX 76632-0110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765618
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1007379
TX
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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