Mona Payne, R.N.
Individual provider Active NPI Community Health Registered Nurse · Jasper, FL
NPI 1992824262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992824262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- RN3349092 (FL)
- Practice address
- 209 Central Ave SE
Jasper, FL 32052-6153 - Phone
- (386) 792-1414
- Fax
- (386) 792-2352
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3349092 | FL | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN3349092 | FL | Yes |
Addresses
Primary practice location
209 Central Ave SE
Jasper, FL 32052-6153
Mailing address
PO Box 267
Jasper, FL 32052-0267
Phone (386) 792-1414
Other providers in Jasper, FL
- One Stop Staffing, Training, & Consulting LLC
- Tyler Owen
- Yong Park
- Amanda Parks
- Ke'Amber Paul
- Stephanie Rose Pierdinock
- Pollock & Pollock Consulting, LLC
- Dwight Pollock
- April Puentes
- Quality Phlebotomy LLC
All providers in Jasper, FL · Community Health Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.