Individual
STACEY A PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8119 CONNECTOR DR STE B, FLORENCE, KY 41042-1469
(859) 283-2475
(859) 283-0097
Mailing address
8119 CONNECTOR DR STE B, FLORENCE, KY 41042-1469
(859) 283-2475
(859) 283-0097
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3009046
KY
363LA2200X
Adult Health Nurse Practitioner
4704265423
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
3009046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000905375
ANTHEM
KY
Enumeration date
01/09/2014
Last updated
05/01/2017
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