Provider Demographics
NPI:1669701991
Name:PALMER, JO ANN (CRNP)
Entity type:Individual
Prefix:
First Name:JO ANN
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:P. O. BOX 298
Mailing Address - Street 2:674 CAFFERTY RD
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942
Mailing Address - Country:US
Mailing Address - Phone:610-847-1925
Mailing Address - Fax:215-590-9317
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BLVD.
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-6778
Practice Address - Fax:215-590-9317
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PATP006705D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics