Healthcare Provider Details

I. General information

NPI: 1992609465
Provider Name (Legal Business Name): MICHELL PALISOC FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 CHESTER AVE
BAKERSFIELD CA
93301-2015
US

IV. Provider business mailing address

8422 KOWA ST
BAKERSFIELD CA
93314-8581
US

V. Phone/Fax

Practice location:
  • Phone: 661-323-4673
  • Fax:
Mailing address:
  • Phone: 661-808-8517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95038170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: