Individual
MRS. TONJA SIMMONS NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
1558 UNION RD, SUITE A, GASTONIA, NC 28054-2214
(704) 810-7418
(704) 810-6560
Mailing address
1558 UNION RD, SUITE A, GASTONIA, NC 28054-2214
(704) 810-7418
(704) 810-6560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5003959
NC
363LF0000X
Family Nurse Practitioner
5003959
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5003959
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004155
—
NC
Enumeration date
03/25/2008
Last updated
04/20/2020
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