Stacey Payne
Nurse Practitioner, Family in Prattville, AL. Individual provider (NPI-1).
NPI number1609708643
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1609708643
- Entity type
- Individual (NPI-1)
- Name
- Stacey Payne
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-085052 | AL | Yes |
Practice location
143 E Poplar StPrattville, AL 36066-3638
Phone 334-399-2946
Mailing address
143 E Poplar StPrattville, AL 36066-3638
Phone 334-399-2946
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