Individual
JENNIFER NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
552 PRISON CAMP RD, POLKTON, NC 28135-6118
(704) 694-0429
Mailing address
PO BOX 64, POLKTON, NC 28135-0064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010308
NC
Other
Enumeration date
02/20/2018
Last updated
03/13/2018
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