Provider Demographics
NPI:1780018036
Name:PAYNE, NICOLE C (AUD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:C
Last Name:PAYNE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 331049
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7508
Mailing Address - Country:US
Mailing Address - Phone:615-340-4000
Mailing Address - Fax:615-327-4449
Practice Address - Street 1:4601 CAROTHERS PKWY STE 215
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6003
Practice Address - Country:US
Practice Address - Phone:615-340-4000
Practice Address - Fax:615-327-4449
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002537A231H00000X
TNA1860231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist