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General NPI Number Information
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NPI Number | 1750196127
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Entity Type | Individual
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Provider Name | QUANESHA PALMER APRN
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1325 LIBERTY DR
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City | DE WITT
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State | AR
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Zip | 72042-3430
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Country | US
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Telephone | 870-946-3569
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | BARTON
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State | AR
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Zip | 72312-0127
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Country | US
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Telephone | 870-714-9838
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 232042
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License Number State | AR
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