| Doctor Name: | MRS. AMY JO PAYNE |
| NPI Number: | 1174640528 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPAS, PA-C |
| License Number: | 001795 |
| Business Practice Address: | 118 Main St North Sioux City, SD - 570493113 |
| Business Phone Number: | 6052323412 |
| Business Fax Number: | |
| Mailing Address: | Hwy 75/77, Po Box Hh WINNEBAGO |
| State: | NE |
| Postal Code: | 68071 |
| Phone Number: | 6052323412 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |