Individual
JACOB PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4342 JAMES MADISON HWY, FORK UNION, VA 23055-2025
(143) 420-4980
Mailing address
945 JEFFERSON DR, PALMYRA, VA 22963-3313
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024197991
VA
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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