Individual
JEFFERY STEPHEN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1622 WESTGATE CIR, BRENTWOOD, TN 37027-8019
(629) 255-2039
(629) 255-4230
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
(629) 255-3075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
4356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063192
—
TN
Enumeration date
10/07/2020
Last updated
04/01/2021
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