KECIA LASONIA PALMER NURSE PRACTITIONER NPI 1336635812

NPI Information

  • NPI: 1336635812
  • Provider Name: KECIA LASONIA PALMER, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 768 AVERY BLVD N
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 487-6482

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NPI Details

Kecia Lasonia Palmer, NURSE PRACTITIONER is a primary care nurse practitioner in Ridgeland, MS with 8 years of experience. Kecia Lasonia Palmer, NURSE PRACTITIONER NPI is 1336635812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

768 AVERY BLVD N
RIDGELAND, MS
ZIP 39157-219
Phone: (601) 487-6482

The NPI 1336635812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2018 and was last updated on 7/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care902423MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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