Jacqueline Ines Palmer, | |
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
(551) 996-2000 | |
Not Available |
Full Name | Jacqueline Ines Palmer |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 30 Prospect Ave, Hackensack, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457084931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 26NR20927300 (New Jersey) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26NJ01346900 (New Jersey) | Primary |
Entity Name | New Jersey Healthcare Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Ines Palmer, 25 Park Ln S Apt 3103, Jersey City, NJ 07310-3146 Ph: (203) 727-9418 | Jacqueline Ines Palmer, 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2000 |
Med Murielle Pierre, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Kyungmoon Roh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2419 | |
Ahmadu Tejani Jalloh, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Christopher J Klobus, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Trenasa N Cho-chun, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2419 |