Individual
JESSICA SHAY PALMER NAMBURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
702 1ST AVE N, SAFETY HARBOR, FL 34695-2601
(814) 384-9188
Mailing address
702 1ST AVE N, SAFETY HARBOR, FL 34695-2601
(814) 384-9188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11020597
FL
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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