JACKSON PAYNE

ROGERS, AR
NPI1194407379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AR  226845)
Enumeration Date2023-08-07
Last Update Date2024-01-19
Business Address
JACKSON PAYNE
2708 S RIFE MEDICAL LN STE 210
ROGERS, AR 72758-1456
Phone number: 479-338-3888
Mailing Address
JACKSON PAYNE
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 314-364-4200
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