Provider Demographics
NPI:1285983288
Name:PALMER, JILLIAN VICTORIA (AUD)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:VICTORIA
Last Name:PALMER
Suffix:
Gender:F
Credentials:AUD
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Mailing Address - Street 1:2341 LEWISVILLE CLEMMONS RD
Mailing Address - Street 2:3RD FLOOR AUDIOLOGY
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8905
Mailing Address - Country:US
Mailing Address - Phone:336-713-3367
Mailing Address - Fax:336-713-3366
Practice Address - Street 1:2341 LEWISVILLE CLEMMONS RD
Practice Address - Street 2:3RD FLOOR AUDIOLOGY
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8905
Practice Address - Country:US
Practice Address - Phone:336-713-3367
Practice Address - Fax:336-713-3366
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC10159231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist