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NPI Code Detail

MEDICARE: JULIE M PALMER PMHNP

MEDICARE: JULIE M PALMER PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerCNP.102551WV
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP017683PA

General Provider Information

NPI Number : 1336662154
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE M PALMER PMHNP
Provider Business Mailing Address
First Line : PO BOX 6230
Second Line :
City : WHEELING
State : WV
Zip : 26003-0722
Country : US
Telephone Number : 304-242-7106
Fax Number :
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE STE 303
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 610-892-3800
Fax Number : 484-468-1412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2017
Last Update Date : 10/09/2024

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