Organization Active NPI

Av Health and Wellness a Nursing Corporation

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1063343762
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AV HEALTH AND WELLNESS A NURSING CORPORATION
Practice address
830 W Avenue L Ste 109F
Lancaster, CA 93534-7207
Phone
(404) 447-4007
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacqueline Nicole Palmer, NPNPI 1689167751
Title
Owner/President
Phone
(404) 447-4007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

830 W Avenue L Ste 109F
Lancaster, CA 93534-7207

Mailing address

44324 Mahogany St
Lancaster, CA 93535-6366
Phone (404) 447-4007

National Provider Directory

National Provider Directory

Locations

830 W Avenue L
Ste 109F
Lancaster, CA 93534
Phone (404) 447-4007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1063343762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44324 MAHOGANY ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935356366",
            "telephone_number": "404-447-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W AVENUE L STE 109F",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347207",
            "telephone_number": "404-447-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV HEALTH AND WELLNESS A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "404-447-4007",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.