Healthcare Provider Details

I. General information

NPI: 1720625809
Provider Name (Legal Business Name): KAREN JESSICA PALOMINO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN J. PALOMINO APRN

II. Dates (important events)

Enumeration Date: 12/07/2019
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 2ND AVE SW
LARGO FL
33770-2298
US

IV. Provider business mailing address

1301 2ND AVE SW
LARGO FL
33770-2298
US

V. Phone/Fax

Practice location:
  • Phone: 727-584-7706
  • Fax: 727-585-4807
Mailing address:
  • Phone: 727-584-7706
  • Fax: 727-585-4807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82575
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95352171
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012571
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11012571
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number349626
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: