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NPI Code Detail

MEDICARE: CIERA PAYMON FNP-BC

MEDICARE: CIERA PAYMON FNP-BC
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
1363LF0000XFamily Nurse Practitioner1-164769AL

General Provider Information

NPI Number : 1265017263
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERA PAYMON FNP-BC
Provider Business Mailing Address
First Line : 600 SUN TEMPLE DR
Second Line :
City : MADISON
State : AL
Zip : 35758-8643
Country : US
Telephone Number : 256-975-4291
Fax Number : 256-288-3334
Provider Business Practice Location Address
First Line : 500 SHAE PARK RD
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-3597
Country : US
Telephone Number : 334-270-5502
Fax Number : 334-270-5503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2021
Last Update Date : 03/11/2021

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Directions to “ CIERA PAYMON FNP-BC” Practice Location

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