Individual
MRS. LINDA D PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
785 OHIO AVE, CLARKSDALE, MS 38614-6217
(662) 627-3211
Mailing address
785 OHIO AVE, CLARKSDALE, MS 38614-6217
(662) 627-3211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
04220369
MS
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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