Individual
JACQUELYN ANNE VIRGI PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 MACK RD, STE. 2531, FAIRFIELD, OH 45014-5335
(513) 924-8535
(513) 924-8559
Mailing address
3000 MACK RD, STE. 2531, FAIRFIELD, OH 45014-5335
(513) 924-8535
(513) 924-8559
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014-00901
NC
208600000X
Surgery Physician
35126992
OH
208600000X
Surgery Physician
MT194821
PA
2086X0206X
Surgical Oncology Physician
Primary
35.126992
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140445
—
OH
05
—
1033418140
—
NC
05
—
NC2134
—
SC
Enumeration date
03/16/2011
Last updated
04/28/2025
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