NPI 1356822555

Betty Jane Payne, LPN

Practitioner Licensed Practical Nurse Johnston City, IL

Practice location

Address: 1203 Market Ave, Johnston City, IL 62951-1842
Phone: (618) 525-5775

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 043120069 (IL)

Other Licensed Practical Nurse providers in Illinois →

Registry record

NPI: 1356822555
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2018
Record last updated: 24 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.