MEDICARE: DR. MELANIE JEANNE PALMER RN, MSN, ACNS-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SA2200X	Adult Health Clinical Nurse Specialist	808835	TX

General Provider Information

NPI Number	:	1396166294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE JEANNE PALMER RN, MSN, ACNS-BC

Provider Business Mailing Address
First Line	:	7620 DEER RUN
Second Line	:
City	:	VOLENTE
State	:	TX
Zip	:	78641-6108
Country	:	US
Telephone Number	:	512-291-7493
Fax Number	:

Provider Business Practice Location Address
First Line	:	7620 DEER RUN
Second Line	:
City	:	VOLENTE
State	:	TX
Zip	:	78641-6108
Country	:	US
Telephone Number	:	512-291-7493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2013
Last Update Date	:	12/18/2013

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