Norris, Juanita

Norris, Juanita is an individual health care provider with primary practice located at 58 Big A Road , Toccoa GA 30577-6017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Norris, Juanita can be contacted via phone (706) 886-8419.

Contact Information

Primary practice address
58 Big A Road Toccoa GA 30577-6017
Phone: (706) 886-8419
Fax: (706) 886-4479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 75091 Georgia

Profile Details

NPI number 1285627372
LBN Legal business name Norris, Juanita
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 20th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285627372 NPPES
Georgia MEDICAID 000581677ABEF

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