Healthcare Provider Details

I. General information

NPI: 1053233866
Provider Name (Legal Business Name): JENNIFER CHRISTENSEN PALMER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CONSTITUTION AVE
HENDERSON NV
89015-5782
US

IV. Provider business mailing address

7735 RED LAKE PEAK ST
LAS VEGAS NV
89166-5064
US

V. Phone/Fax

Practice location:
  • Phone: 702-707-9048
  • Fax: 702-707-9048
Mailing address:
  • Phone: 801-842-9811
  • Fax: 702-707-9048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number864380
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: