Palmer, Jens Kersten

Palmer, Jens Kersten is an individual health care provider with primary practice located at 293 Olmsted Blvd Suite 4, Pinehurst NC 28374-9181. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Palmer, Jens Kersten can be contacted via phone (910) 295-3200.

Contact Information

Primary practice address
293 Olmsted Blvd Suite 4 Pinehurst NC 28374-9181
Fax: (910) 295-3222
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5004433 North Carolina

Profile Details

NPI number 1063638435
LBN Legal business name Palmer, Jens Kersten
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063638435 NPPES
North Carolina MEDICAID 7000515

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