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Ms. Victoria Sue Payne, MSN,RN,FNP-BC
Pediatric Registered Nurse in Peoria, Illinois
NPI 1760048334

Victoria Sue Payne is a Pediatric Registered Nurse based in Peoria, IL and is specialized in Pediatrics. Victoria Sue Payne practices in Peoria, IL and has the professional credentials of MSN,RN,FNP-BC. The NPI Number for Victoria Sue Payne is 1760048334 and holds a License No. 209.019427 (Illinois).

The current practice location address for Victoria Sue Payne is 1800 N Knoxville Ave Ste A, Peoria, IL and can be reached out via phone at 309-680-7669.

Location: 1800 N Knoxville Ave Ste A, Peoria, IL, 61604-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760048334
Provider Name
Victoria Sue Payne
Credential
MSN,RN,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1800 N Knoxville Ave Ste A, Peoria, IL, 61604-3221
Phone Number
309-680-7669
Fax Number
Provider Enumeration Date
05/19/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.019427 01 IL IL STATE NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
1800 N Knoxville Ave Ste A
City
Peoria
State
Illinois
Zip
61603-3005
Phone Number
309-680-7669
Fax Number
person
Provider Business Mailing Address Details
Address
1800 N Knoxville Ave Ste A
City
Peoria
State
Illinois
Zip
61603-3005
Phone Number
309-680-7669
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
041.396677 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.019427 (Illinois)
Definition
Definition to come...
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