Individual
MRS. STACY MARIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
4296 N. HARRISON STREET, OKLAHOMA, OK 73165
(405) 788-4102
Mailing address
13900 BRUTUS BLVD, OKLAHOMA CITY, OK 73165-8803
(405) 314-5829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219967
OK
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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