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NPI Code Detail

MEDICARE: CATHERINE JONES-PAYNE PA-C

MEDICARE:   CATHERINE  JONES-PAYNE  PA-C
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
1363A00000XPhysician AssistantPA9105113FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295057743
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE JONES-PAYNE PA-C
Provider Business Mailing Address
First Line : 921 W LAKE BRANTLEY RD
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2634
Country : US
Telephone Number : 407-739-9896
Fax Number :
Provider Business Practice Location Address
First Line : 921 W LAKE BRANTLEY RD
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2634
Country : US
Telephone Number : 407-739-9896
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 05/03/2017

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Directions to “ CATHERINE JONES-PAYNE PA-C” Practice Location

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