Doctor Name: | MS. VANESSA NORMAN |
NPI Number: | 1013283829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP-BC |
License Number: | R850781 |
Business Practice Address: | 24345 Highway 15 Union, MS - 393658575 |
Business Phone Number: | 6017748211 |
Business Fax Number: | |
Mailing Address: | Po Box 2106, MERIDIAN |
State: | MS |
Postal Code: | 393022106 |
Phone Number: | 6017748211 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2012 |
NPI Last Update Date: | 07/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R850781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |