Individual
MRS. JENNIFER PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
923 S CHURCH AVE, LOUISVILLE, MS 39339-3444
(662) 773-3503
(662) 773-6457
Mailing address
PO BOX 470, LOUISVILLE, MS 39339-0470
(662) 773-6211
(662) 446-1039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R853710
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05350301
—
MS
Enumeration date
08/05/2013
Last updated
08/06/2015
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