Provider Demographics
NPI:1013662493
Name:PALMER, JAYNIE KAREN (SWI)
Entity Type:Individual
Prefix:
First Name:JAYNIE
Middle Name:KAREN
Last Name:PALMER
Suffix:
Gender:F
Credentials:SWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5937 S REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5254
Mailing Address - Country:US
Mailing Address - Phone:801-576-6444
Mailing Address - Fax:801-576-7520
Practice Address - Street 1:5937 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5254
Practice Address - Country:US
Practice Address - Phone:801-576-6444
Practice Address - Fax:801-576-7520
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program