Individual
JACQUELINE INES PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
25 PARK LN S APT 3103, JERSEY CITY, NJ 07310-3146
(203) 727-9418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20927300
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01346900
NJ
367500000X
Certified Registered Nurse Anesthetist
769769
NY
Other
Enumeration date
07/02/2022
Last updated
03/25/2025
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