Doctor Name: | JUANITA NORRIS |
NPI Number: | 1285627372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 75091 |
Business Practice Address: | 58 Big A Road Toccoa, GA - 305776017 |
Business Phone Number: | 7068868419 |
Business Fax Number: | 7068864479 |
Mailing Address: | 58 Big A Road, TOCCOA |
State: | GA |
Postal Code: | 305776017 |
Phone Number: | 7068868419 |
Fax Number: | 7068864479 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 75091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |