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Individual

JESSICA A NORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
19021 FREEPORT ST NW, SUITE 100, ELK RIVER, MN 55330-1278
(763) 645-3313
Mailing address
19021 FREEPORT ST NW, SUITE 100, ELK RIVER, MN 55330-1278
(763) 645-3313
(763) 432-7544

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9673
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0120726
MEDICA
01
141285
UCARE
01
156615600
NEW MA PROVIDER NUMBER
01
381K3RU
BCBS
01
964851028877
P ONE
01
970002200
METRAHEALTH MPIN
01
P00232858
RAILROAD MEDICARE
Enumeration date
07/06/2006
Last updated
12/30/2013
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