Organization
BLUE PALM MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA HOLLYANN WHITE NURSE PRACTITIONER (OWNER)
(678) 340-1015
Entity
Organization
Contact information
Practice address
18666 W MCNEIL ST, GOODYEAR, AZ 85338-4910
(678) 340-1015
Mailing address
18666 W MCNEIL ST, GOODYEAR, AZ 85338-4910
(678) 340-1015
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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