Individual
JENNIFER LILLIAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
WESTPOORT MEDICAL PLAZA, 2605 WASHINGTON STREET, PELLA, IA 50219
(641) 620-9119
(641) 613-1305
Mailing address
WESTPOORT MEDICAL PLAZA, 2605 WASHINGTON STREET, PELLA, IA 50219
(641) 620-9119
(641) 613-1305
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27747
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262469
—
IA
Enumeration date
07/06/2005
Last updated
09/14/2011
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