Norman, Jeffery Stephen
Norman, Jeffery Stephen is an individual health care provider with primary practice located at 1622 Westgate Cir , Brentwood TN 37027-8019. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Norman, Jeffery Stephen can be contacted via phone (629) 255-2039.Contact Information
Primary practice address
1622 Westgate Cir
Brentwood TN 37027-8019
Phone: (629) 255-2039
Fax: (629) 255-4230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4356 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1407453954 |
|---|---|
| LBN Legal business name | Norman, Jeffery Stephen |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2020 |
| Last updated | Apr 1st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407453954 | NPPES |
| Tennessee | MEDICAID | Q063192 |
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