Individual
ALLYSON M PALOMBARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5210
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN316594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05472771
—
MS
Enumeration date
02/05/2010
Last updated
06/15/2015
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