Organization
MOBILE HEALTH PLLC
Active
Organization
MOBILE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE PALMER (FNP-C)
(404) 447-4007
Entity
Organization
Contact information
Practice address
10409 PACIFIC PALISADES AVE, LAS VEGAS, NV 89144-1221
(661) 405-4315
Mailing address
45465 25TH ST E SPC 168, LANCASTER, CA 93535-2392
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689167751
—
CA
Enumeration date
06/29/2022
Last updated
06/29/2022
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