Provider Demographics
NPI:1326714056
Name:PALMER-PATTERSON, ADRIENNE NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:NICOLE
Last Name:PALMER-PATTERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 SW CROSS CREEK PL
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-8895
Mailing Address - Country:US
Mailing Address - Phone:321-652-1995
Mailing Address - Fax:
Practice Address - Street 1:1608 SW CROSS CREEK PL
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-8895
Practice Address - Country:US
Practice Address - Phone:321-652-1995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020019783111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty