Healthcare Provider Details

I. General information

NPI: 1386903425
Provider Name (Legal Business Name): MICHELLE ANGELA NORRIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N WEST AVE
JACKSON MI
49202-2179
US

IV. Provider business mailing address

308 TURTLE CV
PANAMA CITY BEACH FL
32413-8441
US

V. Phone/Fax

Practice location:
  • Phone: 517-789-1200
  • Fax:
Mailing address:
  • Phone: 423-505-7042
  • Fax: 850-688-9004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberAPRN9434194
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9434194
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704411492
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN9434194
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: