Jermaine Dewayne Palmer, APRN

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

RN9273763 Issued in FL

Practice address

315 NW 109TH Ave
Pembroke Pines, FL 33026-4024

Phone

(754) 368-9828

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1720815590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NW 109TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264024",
            "telephone_number": "754-368-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NW 109TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264024",
            "telephone_number": "754-368-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JERMAINE",
        "middle_name": "DEWAYNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "RN9273763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Springs Pediatrics PA
• Roderick John Yulo Palma
• Danielle Alicia Palmer-Raoul, NP
• Dean Palmer, M.D.
• Emily Claire Palmer, APRN, AGPCNP-BC
• Julio Palomera
• Miguel Angel Palomino
• Pam and Associates LLC.
• Pamela Silver Psy.D. P.a.
• Pan Am Diagnostic Services, Inc.

• Geriatric Medicine (Family Medicine) Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.