| Doctor Name: | MR. JAMES NATHAN PAYNE |
| NPI Number: | 1063806933 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | R865473 |
| Business Practice Address: | 5090 Gautier Vancleave Rd Gautier, MS - 395534803 |
| Business Phone Number: | 2285226700 |
| Business Fax Number: | 2285223383 |
| Mailing Address: | 1604 Beach View Drive, OCEAN SPRINGS |
| State: | MS |
| Postal Code: | 39564 |
| Phone Number: | 2282196706 |
| Fax Number: | 2285223383 |
| NPI Enumeration Date: | 03/27/2015 |
| NPI Last Update Date: | 03/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R865473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |