Provider Demographics
NPI:1992523864
Name:PALERMO, BRITTANY DAWN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DAWN
Last Name:PALERMO
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1741 LAFAYETTE 27
Mailing Address - Street 2:
Mailing Address - City:STAMPS
Mailing Address - State:AR
Mailing Address - Zip Code:71860-9011
Mailing Address - Country:US
Mailing Address - Phone:870-904-8169
Mailing Address - Fax:
Practice Address - Street 1:600 LELIA
Practice Address - Street 2:WING B, OFFICE #4
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753
Practice Address - Country:US
Practice Address - Phone:870-340-2636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR230574363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health