Jessica Payne, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5204256 Issued in FL

Practice address

312 W Montana Ave
Bonifay, FL 32425-1625

Phone

(850) 849-6373

NPI assigned

Mar 3, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1336689736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W MONTANA AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W MONTANA AVE",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324251625",
            "telephone_number": "850-849-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JESSICA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5204256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panhandle Family Medicine, LLC
• Brian A Parker, D.M.D.
• Stanley M Parker, D.M.D.
• Jonathan Odell Paul, ARNP-BC
• Shelia Ann Paul
• David Penzo, LCSW
• Robert Edward Pierce, DMD
• Sandra Lesley Pierce, BS
• Summer Plass-Arnold
• Elizabeth P Pouncey

• Licensed Practical Nurse in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.