Physician Compare National (NPI:1871113779)

HEALTHCARE PROVIDER: AMY PALMER PMHNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871113779
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840612743
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200623001553
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PALMER
	Individual professional last name
Provider First Name	AMY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2020
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COMMUNITY HEALTH OF EAST TENNESSEE INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7618887803
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	130 INDEPENDENCE LN
	Group Practice or individual's line 1 address
City	LA FOLLETTE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	377663073
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4235621705
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y