Healthcare Provider Details

I. General information

NPI: 1982084836
Provider Name (Legal Business Name): BRITTANY PAYNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2263 HIGHWAY 65 N
MARSHALL AR
72650-7660
US

IV. Provider business mailing address

2263 HIGHWAY 65 N
MARSHALL AR
72650-7660
US

V. Phone/Fax

Practice location:
  • Phone: 870-448-5733
  • Fax:
Mailing address:
  • Phone: 870-448-5733
  • Fax: 877-550-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number29479-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: