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NPI Code Detail

MEDICARE: JAYLEN PAYNE DNP

MEDICARE: JAYLEN PAYNE DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11043349FL
2163W00000XRegistered Nurse913738MS

General Provider Information

NPI Number : 1154174118
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLEN PAYNE DNP
Provider Business Mailing Address
First Line : 8801 PATHSTONE BLVD APT 2403
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-4557
Country : US
Telephone Number : 662-304-6580
Fax Number :
Provider Business Practice Location Address
First Line : 525 TECHNOLOGY PARK STE 109
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-7107
Country : US
Telephone Number : 407-647-2346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2024
Last Update Date : 01/23/2026

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Directions to “ JAYLEN PAYNE DNP” Practice Location

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