Provider Demographics
NPI:1528142437
Name:PALMER, CORINNE LYNN (APRN, BC)
Entity type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:LYNN
Last Name:PALMER
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Gender:F
Credentials:APRN, BC
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:770-513-1093
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:770-603-3645
Practice Address - Fax:770-513-1093
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-01-07
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Provider Licenses
StateLicense IDTaxonomies
GARN066649364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
S92479Medicare UPIN
GA89BBBDMMedicare ID - Type Unspecified