Individual
ALISSA FONTANA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
8200 CONSTANTIN BLVD FL 3, BATON ROUGE, LA 70809-3481
(225) 765-6834
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
204088
LA
Other
Enumeration date
07/31/2019
Last updated
06/09/2023
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