Individual
JASON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
Mailing address
2312 AMOROSA LOOP NE, LELAND, NC 28451-0438
(614) 499-7483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5016558
NC
363LF0000X
Family Nurse Practitioner
COA.09427
OH
Other
Enumeration date
08/20/2009
Last updated
10/29/2024
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