Individual
MS. JORDAN JENNA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
2850 SEAGRAVE WAY, MARIETTA, GA 30066-3688
(470) 233-2375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN332275
GA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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