Individual
JACLYN PALMISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00974700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00974700
NJ
Other
Enumeration date
10/25/2019
Last updated
02/11/2025
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