Healthcare Provider Details

I. General information

NPI: 1881990778
Provider Name (Legal Business Name): KATHRYN WARD NORTON DNP, AGACNP, ACNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2011
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8954 HOSPITAL DRIVE
DOUGLASVILLE GA
30134
US

IV. Provider business mailing address

55 WHITCHER ST NE STE 350
MARIETTA GA
30060-1129
US

V. Phone/Fax

Practice location:
  • Phone: 770-949-1500
  • Fax: 770-920-6434
Mailing address:
  • Phone: 470-956-9646
  • Fax: 678-819-0357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAP119997
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number718974
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberRN273787
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN273787
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: