Provider Demographics
NPI:1013717636
Name:PALMER, JARRETT
Entity type:Individual
Prefix:
First Name:JARRETT
Middle Name:
Last Name:PALMER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E MOCKINGBIRD LN APT 1346
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-3623
Mailing Address - Country:US
Mailing Address - Phone:432-967-8201
Mailing Address - Fax:
Practice Address - Street 1:1301 E MOCKINGBIRD LN APT 1346
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-3623
Practice Address - Country:US
Practice Address - Phone:432-967-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant