Provider Demographics
NPI:1932099710
Name:FORMAN-PAYTON, YOLANDA LAVONE (APRN)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:LAVONE
Last Name:FORMAN-PAYTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 COREY WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-3763
Mailing Address - Country:US
Mailing Address - Phone:850-661-7234
Mailing Address - Fax:
Practice Address - Street 1:4012 KELCEY CT STE 203
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5986
Practice Address - Country:US
Practice Address - Phone:850-354-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily