Healthcare Provider Details

I. General information

NPI: 1609280866
Provider Name (Legal Business Name): KELLY JEAN NORTON MSN, MHA, FNP-BC, FN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 BUSINESS WAY STE 2
LEHIGH ACRES FL
33936-6073
US

IV. Provider business mailing address

1220 BUSINESS WAY STE 2
LEHIGH ACRES FL
33936-6073
US

V. Phone/Fax

Practice location:
  • Phone: 239-322-8520
  • Fax:
Mailing address:
  • Phone: 239-322-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11036103
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number9374340
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP241800
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number9374340
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number9374340
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: