Individual
THOMAS JUSTIN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CRNP
Contact information
Practice address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1786
(251) 414-5900
(251) 281-1162
Mailing address
101 MEMORIAL HOSPITAL DR, SUITE 200, MOBILE, AL 36608-1786
(251) 414-5900
(251) 281-1162
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-096501
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912200932
NPI
AL
Enumeration date
12/14/2010
Last updated
09/15/2011
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