Provider Demographics
NPI:1346959699
Name:PALMER, JENNA (NP)
Entity Type:Individual
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First Name:JENNA
Middle Name:
Last Name:PALMER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:IHA TRAUMA, ACUTE & CRITICAL CARE SURGERY
Practice Address - Street 2:5333 MCAULEY DRIVE
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-712-6397
Practice Address - Fax:734-887-8941
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2023-12-06
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Provider Licenses
StateLicense IDTaxonomies
MI4704336650363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner