NPI 1003401696

Jennifer Geraldine Porras Palacios

Practitioner Specialist Madison, TN

Practice location

Address: 620 Gallatin Pike N, Madison, TN 37115-2866
Phone: (615) 460-4300

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1003401696
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2021
Record last updated: 4 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.