Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Samuel Copeland Palmer IV, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1689014862

Mr. Samuel Copeland Palmer IV, CNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Ez Health Medical Group PA, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware, Florida, New York and Pennsylvania.

Years since qualifying
14
Licensed in
DE, FL, NY, PA
In the registry since
2013
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1220 University Blvd N
Jacksonville, FL 32211-8852
Phone: (904) 490-8700
Fax: (904) 490-9810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 9485401 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence SP017792 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence LP-0000214 (DE)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 308308 (NY)

Record details

NPI number1689014862
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ez Health Medical Group Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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