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NPI Code Detail

MEDICARE: JAYME ELIZABETH NORMAN APRN

MEDICARE: JAYME ELIZABETH NORMAN APRN
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
1363LF0000XFamily Nurse Practitioner3007506KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112419015OTHERCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972858306
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYME ELIZABETH NORMAN APRN
Provider Business Mailing Address
First Line : 509 MEMORIAL DR
Second Line : SUITE 2
City : MANCHESTER
State : KY
Zip : 40962-6195
Country : US
Telephone Number : 606-598-5104
Fax Number : 606-598-0983
Provider Business Practice Location Address
First Line : 56 MARIE LANGDON DR
Second Line :
City : MANCHESTER
State : KY
Zip : 40962-6329
Country : US
Telephone Number : 606-598-5104
Fax Number : 606-598-0983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 09/30/2020

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Directions to “ JAYME ELIZABETH NORMAN APRN” Practice Location

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