Individual provider · Type 1 NPI

Jarae Regina Payne, CPNP-AC

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1700478450 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-2644 Map

Mailing address

1131 Ashbourne Rd
Cheltenham, PA 19012-1108

Other practice locations

  • 22 S Greene St, Baltimore, MD 21201-1544 · (410) 328-8667

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XR246255 (MD)
Pediatric Nurse Practitioner Primary 363LP0200XSP023276 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1700478450

Jarae Regina Payne, CPNP-AC's National Provider Identifier is 1700478450, issued on Feb 4, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 23, 2021.