Individual
MR. JORDAN DOUGLAS PALMER
Active
Individual
MR. JORDAN DOUGLAS PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
191481
TN
163W00000X
Registered Nurse
RN57508
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
17279
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA203031
ME
Other
Enumeration date
11/15/2012
Last updated
01/13/2026
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