Healthcare Provider Details

I. General information

NPI: 1689505323
Provider Name (Legal Business Name): MRS. ABIGAIL LYNNE PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N OTTERBEIN AVE
WESTERVILLE OH
43081-5719
US

IV. Provider business mailing address

120 N OTTERBEIN AVE
WESTERVILLE OH
43081-5719
US

V. Phone/Fax

Practice location:
  • Phone: 614-918-8349
  • Fax: 740-480-8153
Mailing address:
  • Phone: 614-918-8349
  • Fax: 740-480-8153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: