Provider Demographics
NPI:1396166294
Name:PALMER, MELANIE JEANNE (RN, MSN, ACNS-BC)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:JEANNE
Last Name:PALMER
Suffix:
Gender:F
Credentials:RN, MSN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:VOLENTE
Mailing Address - State:TX
Mailing Address - Zip Code:78641-6108
Mailing Address - Country:US
Mailing Address - Phone:512-291-7493
Mailing Address - Fax:
Practice Address - Street 1:7620 DEER RUN
Practice Address - Street 2:
Practice Address - City:VOLENTE
Practice Address - State:TX
Practice Address - Zip Code:78641-6108
Practice Address - Country:US
Practice Address - Phone:512-291-7493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX808835364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health