Provider Demographics
NPI:1154966067
Name:PAYNE, ARGARET SHONTA (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ARGARET
Middle Name:SHONTA
Last Name:PAYNE
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9027 GAVIN DR
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-6462
Mailing Address - Country:US
Mailing Address - Phone:662-356-3816
Mailing Address - Fax:662-200-4217
Practice Address - Street 1:6952 DOGWOOD MNR N STE 103
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-2091
Practice Address - Country:US
Practice Address - Phone:662-874-6921
Practice Address - Fax:662-932-6921
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26839363L00000X, 363LP0808X
MS903710363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner