Provider Demographics
NPI:1194599258
Name:PALMER, ALLISON HEATHER (MSN, APRN, CNM)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:HEATHER
Last Name:PALMER
Suffix:
Gender:F
Credentials:MSN, APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 BROKESHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-1592
Mailing Address - Country:US
Mailing Address - Phone:731-487-3073
Mailing Address - Fax:
Practice Address - Street 1:300 STONECREST BLVD STE 320
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6801
Practice Address - Country:US
Practice Address - Phone:629-206-6858
Practice Address - Fax:615-459-8640
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35172176B00000X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife