Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 10933 | TN |
NPI | 1538184270 |
---|---|
Provider Name | Teresa G Palmer |
First Address | Nashville, TN 37244-0504 |
Second Address | Knoxville, TN 37920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P87376 | (02) | TN |