Individual
CASEY JORDAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1718 CONCORD ST, JOHNSON CITY, TN 37604-7235
(276) 780-0069
Mailing address
1718 CONCORD ST, JOHNSON CITY, TN 37604-7235
(276) 780-0069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001251510
VA
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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