Provider Demographics
NPI:1710577788
Name:PALMER, JENNIFER EMALYNNE (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:EMALYNNE
Last Name:PALMER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 WEST LN
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-3912
Mailing Address - Country:US
Mailing Address - Phone:830-928-6060
Mailing Address - Fax:
Practice Address - Street 1:250 CULLY DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5950
Practice Address - Country:US
Practice Address - Phone:830-258-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1017372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily