Individual provider · Type 1 NPI
Jacob Payne
Family Nurse Practitioner · Fork Union, VA
NPI number
1790602175
Active
Practice location
4342 James Madison Hwy
Fork Union, VA 23055-2025
Fax (434) 404-4648
Mailing address
945 Jefferson Dr
Palmyra, VA 22963-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0024197991 (VA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Fork Union
About NPI 1790602175
Jacob Payne's National Provider Identifier is 1790602175, issued on Jul 6, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fork Union, VA. The record was last updated on Oct 15, 2026.