Healthcare Provider Details

I. General information

NPI: 1679496822
Provider Name (Legal Business Name): CHERYLENE LANA NORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 SAGEBRUSH TRL
LEXINGTON NC
27292-7319
US

IV. Provider business mailing address

225 SAGEBRUSH TRL
LEXINGTON NC
27292-7319
US

V. Phone/Fax

Practice location:
  • Phone: 336-300-5462
  • Fax:
Mailing address:
  • Phone: 336-300-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number2178184
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: