Individual
MRS. ANN S PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10820 MARVIN JONES BLVD, LIVE OAK, FL 32064-8243
(386) 658-5300
Mailing address
10820 MARVIN JONES BLVD, LIVE OAK, FL 32064-8243
(386) 658-5300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.11033229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119469
—
OH
Enumeration date
09/24/2014
Last updated
07/09/2025
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