NICOLE LYNN PAYNE

SOUTHAVEN, MS
NPI1851575138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R870070)
Enumeration Date2007-12-23
Last Update Date2012-08-29
Business Address
-- NICOLE LYNN PAYNE CFNP
3451 GOODMAN RD E SUITE 115
SOUTHAVEN, MS 38672-9303
Phone number: 662-890-5555
Mailing Address
-- NICOLE LYNN PAYNE CFNP
4631 STONE PARK BLVD
OLIVE BRANCH, MS 38654-6983
Phone number: 662-873-3467
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