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Individual

JENNIFER S NORWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(682) 885-4045
(682) 885-7497
Mailing address
PO BOX 84537, DALLAS, TX 75390-7201
(817) 334-0530
(817) 334-0235

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
605624
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10018142
AMERIGROUP PIN
TX
05
137345809
TX
01
1447220850
GRP NPI NUMBER
05
171758901
TX
Enumeration date
12/13/2006
Last updated
11/20/2015
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