Individual
PEACHES PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3661 SANGANI BLVD STE E, DIBERVILLE, MS 39540-8707
(228) 354-0022
Mailing address
803 DARIUS DR, BILOXI, MS 39532-2700
(228) 380-2059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06180040
MS
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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