Palmer, Jodi Marie

Palmer, Jodi Marie is an individual health care provider with primary practice located at 3648 W Anthem Way Bldg. A-100,, Anthem AZ 85086-7001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Palmer, Jodi Marie can be contacted via phone (623) 434-6444.

Contact Information

Primary practice address
3648 W Anthem Way Bldg. A-100, Anthem AZ 85086-7001
Phone: (623) 434-6444
Fax: (623) 434-6448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP7676 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0215444 Arizona

Profile Details

NPI number 1578942165
LBN Legal business name Palmer, Jodi Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Jan 12th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578942165 NPPES
Arizona Other Z25025 MEDICARE PTAN

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