MEDICARE: JOY ELIZABETH PALMA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP017322	PA

General Provider Information

NPI Number	:	1073036893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY ELIZABETH PALMA CRNP

Provider Business Mailing Address
First Line	:	700 SPRUCE ST STE B07
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-4038
Country	:	US
Telephone Number	:	215-829-6461
Fax Number	:

Provider Business Practice Location Address
First Line	:	2915 E THOMPSON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4812
Country	:	US
Telephone Number	:	215-425-3981
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2017
Last Update Date	:	05/13/2019

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