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JONATHAN ALAN PALMER CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1184278632
Individual Registrant: JONATHAN ALAN PALMER CRNA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1061 HARMON AVE FT. STEWART, GA 31314 US
Tel: 912-435-5687 Fax: --
Tel: 912-435-5687 Fax: --
Contact information for business:
1061 HARMON AVE FT. STEWART, GA 31314 US
Tel: 912-435-5687 Fax: --
Tel: 912-435-5687 Fax: --
Registration Information:
NPI: 1184278632
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | TX | 123561 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
