Healthcare Provider Details

I. General information

NPI: 1194599258
Provider Name (Legal Business Name): ALLISON HEATHER PALMER MSN, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STONECREST BLVD STE 320
SMYRNA TN
37167-6801
US

IV. Provider business mailing address

2212 BROKESHIRE DR
WHITE HOUSE TN
37188-1592
US

V. Phone/Fax

Practice location:
  • Phone: 629-206-6858
  • Fax: 615-459-8640
Mailing address:
  • Phone: 731-487-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number35172
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: