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NPI Code Detail

MEDICARE: MRS. JILL ANN NORTON RNC,WHNP

MEDICARE:  MRS. JILL ANN NORTON  RNC,WHNP
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
1363LW0102XWomen's Health Nurse Practitioner089205MO

General Provider Information

NPI Number : 1619206497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL ANN NORTON RNC,WHNP
Provider Business Mailing Address
First Line : 1135 E LAKEWOOD ST
Second Line : SUITE 112
City : SPRINGFIELD
State : MO
Zip : 65810-2434
Country : US
Telephone Number : 417-887-5500
Fax Number :
Provider Business Practice Location Address
First Line : 1135 E LAKEWOOD ST
Second Line : SUITE 112
City : SPRINGFIELD
State : MO
Zip : 65810-2434
Country : US
Telephone Number : 417-887-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2009
Last Update Date : 07/13/2016

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