Individual
COLETTE S PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
620 JOHN PAUL JONES CIR STE 445, PORTSMOUTH, VA 23708-2111
(757) 953-2130
(757) 953-0825
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245773951
CORVEL
VA
05
—
1245773951
—
NC
05
—
1245773951
—
VA
Enumeration date
11/29/2016
Last updated
12/02/2021
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