Healthcare Provider Details

I. General information

NPI: 1841291655
Provider Name (Legal Business Name): JENNIFER B NORMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER B GREGORY MD

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 06/01/2025
Certification Date: 06/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 CARTHAGE ST
SANFORD NC
27330-4104
US

IV. Provider business mailing address

205 PAGE RD
PINEHURST NC
28374-8749
US

V. Phone/Fax

Practice location:
  • Phone: 919-774-6518
  • Fax: 919-774-1831
Mailing address:
  • Phone: 919-774-6518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9900515
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9900515
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: