Payne, Victoria Sue

Payne, Victoria Sue is an sole proprietor health care provider with primary practice located at 1800 N Knoxville Ave Ste A , Peoria IL 61603-3005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Payne, Victoria Sue can be contacted via phone (309) 680-7669.

Contact Information

Primary practice address
1800 N Knoxville Ave Ste A Peoria IL 61603-3005
Phone: (309) 680-7669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.019427 Illinois
Nursing Service Providers / Pediatrics 163WP0200X 041.396677 Illinois

Profile Details

NPI number 1760048334
LBN Legal business name Payne, Victoria Sue
Credentials MSN, RN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2019
Last updated Mar 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760048334 NPPES
Illinois Other 209.019427 IL STATE NURSE PRACTITIONER LICENSE

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