Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Payne

Individual provider Family Nurse Practitioner · NPI 1790602175

Jacob Payne is a Family Nurse Practitioner in Fork Union, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

4342 James Madison Hwy
Fork Union, VA 23055-2025
Phone: (143) 420-4980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024197991 (VA)

Record details

NPI number1790602175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address945 Jefferson Dr, Palmyra, VA 22963-3313

Other providers in Fork Union