Palmer, Jacqueline Nicole

Palmer, Jacqueline Nicole is an individual health care provider with primary practice located at 1200 Driving Park Ave Ste 4 , Newark NY 14513-1090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Palmer, Jacqueline Nicole can be contacted via phone (315) 359-2696.

Contact Information

Primary practice address
1200 Driving Park Ave Ste 4 Newark NY 14513-1090
Phone: (315) 359-2696
Fax: (315) 359-2699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1194470021
LBN Legal business name Palmer, Jacqueline Nicole
Credentials MCMSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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