Provider Demographics
NPI:1629435938
Name:PAYNE, FRANKIE DARLENE (NP)
Entity Type:Individual
Prefix:MS
First Name:FRANKIE
Middle Name:DARLENE
Last Name:PAYNE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 MARION RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-1562
Mailing Address - Country:US
Mailing Address - Phone:717-654-9754
Mailing Address - Fax:
Practice Address - Street 1:1991 MARCUS AVENUE
Practice Address - Street 2:
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-2057
Practice Address - Country:US
Practice Address - Phone:516-406-0688
Practice Address - Fax:866-269-0252
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily