MEDICARE: JENNIFER HOPPER NORRIS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-06247	NC

General Provider Information

NPI Number	:	1336506575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HOPPER NORRIS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 63362
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28263-3362
Country	:	US
Telephone Number	:	919-620-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3480 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-7376
Country	:	US
Telephone Number	:	919-862-1260
Fax Number	:	919-862-2722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2016
Last Update Date	:	04/13/2026

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