Jackson, Norma

Jackson, Norma is an individual health care provider with primary practice located at 1494 Stuart Rd. , Cleveland TN 37312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Norma can be contacted via phone (423) 648-7699.

Contact Information

Primary practice address
1494 Stuart Rd. Cleveland TN 37312
Phone: (423) 648-7699
Fax: (423) 648-7695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6701 Tennessee

Profile Details

NPI number 1336198829
LBN Legal business name Jackson, Norma
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336198829 NPPES
Tennessee Other 4162413 BLUE CROSS BLUE SHIELD

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