Individual provider · Type 1 NPI

Tristane Kathleen Payne, NP

Nurse Practitioner · Port Huron, MI

NPI number 1336930148 Active

Practice location

1217 Kearney St Ste 2
Port Huron, MI 48060-3571

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704327381 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1336930148

Tristane Kathleen Payne, NP's National Provider Identifier is 1336930148, issued on May 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Huron, MI. The record was last updated on May 13, 2025.