Rena Payne
In Home Supportive Care in Jackson, TN. Individual provider (NPI-1).
NPI number1881430106
StatusActive
Last updated in NPPESJul 5, 2024
Details
- NPI
- 1881430106
- Entity type
- Individual (NPI-1)
- Name
- Rena Payne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2024
- Certification date
- Jun 19, 2024
- Last updated
- Jul 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | L000000035705 | TN | Yes |
| 3747A0650X | Technician, Attendant Care Provider | L000000035705 | TN | |
| 3747P1801X | Technician, Personal Care Attendant | L000000035705 | TN | |
| 374U00000X | Home Health Aide | L000000035705 | TN | |
| 376J00000X | Homemaker | L000000035705 | TN |
Practice location
25 Max Lane Dr Ste 3Jackson, TN 38305-2835
Phone 731-694-8058
Mailing address
25 Max Lane Dr Ste 3Jackson, TN 38305-2835
Phone 731-694-8058
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