Individual
JODI MARIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3648 W ANTHEM WAY, BLDG. A-100,, ANTHEM, AZ 85086-7001
(623) 434-6444
(623) 434-6448
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7676
AZ
363LF0000X
Family Nurse Practitioner
F0215444
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z25025
MEDICARE PTAN
AZ
Enumeration date
05/28/2015
Last updated
01/12/2016
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