Individual
JAKE DANIEL NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102207954
VA
Other
Enumeration date
03/23/2020
Last updated
07/07/2023
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