Jackson Payne

NPI #1194407379 in Rogers, Arkansas

Provider Information

NPI Number
1194407379
Entity Type
Individual
Name
Jackson Payne
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Aug 7, 2023
Last Updated
Jan 19, 2024

Practice Location

Address
2708 S RIFE MEDICAL LN STE 210
City
Rogers
ZIP Code
72758-1456
Phone
(479) 338-3888

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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