Provider Demographics
NPI:1801656244
Name:PALACIO-MEADOWS, JESSENIA (MD)
Entity type:Individual
Prefix:
First Name:JESSENIA
Middle Name:
Last Name:PALACIO-MEADOWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JESSENIA
Other - Middle Name:
Other - Last Name:PALACIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3211
Mailing Address - Country:US
Mailing Address - Phone:908-514-9055
Mailing Address - Fax:
Practice Address - Street 1:520 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-3211
Practice Address - Country:US
Practice Address - Phone:908-514-9055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program