NPI 1497766927 · live from the CMS NPI Registry
Stacy L. Payne, CCC-A
Audiologist in Jacksonville, FL. National Provider Identifier 1497766927, active.
NPI record
| NPI | 1497766927 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 807 Childrens Way, Jacksonville, FL 32207 |
| Practice phone | 904-390-3690 |
| Mailing address | Po Box 191, Provider Enrollment Dept, Rockland, DE 19732 |
| Enumerated | August 10, 2006 |
| Last updated | September 21, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AY792 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.