National Provider Identifier
Jacqueline Nicole Palmer, MCMSC, PA-C
Jacqueline Nicole Palmer, MCMSC, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Newark, NY and a listed phone number of (315) 359-2696.
Profile Overview
- NPI
- 1194470021
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 18, 2022
- Last Updated
- February 18, 2022
Practice Location
- 1200 Driving Park Ave Ste 4
- Newark, NY 14513-1090
Phone: (315) 359-2696
Mailing Address
- 40 N Shore Blvd Apt 217
- Canandaigua, NY 14424-2389
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1194470021
- Entity Type
- Individual
- Last Name
- Palmer
- First Name
- Jacqueline
- Middle Name
- Nicole
- Name Prefix
- Miss
- Credential
- MCMSC, PA-C
- Mailing Street Address
- 40 N Shore Blvd Apt 217
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-2389
- Mailing Country
- US
- Mailing Phone
- (440) 539-5993
- Practice Street Address
- 1200 Driving Park Ave Ste 4
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 359-2696
- Practice Fax
- (315) 359-2699
- Enumeration Date
- February 18, 2022
- Last Updated
- February 18, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 18, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)