Jacelyn Norris in Brambleton - Physician Assistant

Jacelyn Norris - NPI 1003995200

Jacelyn Norris is a Physician Assistant in Brambleton, Virginia. Jacelyn Norris practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacelyn Norris is 1003995200. The last update date is 2012-05-07.

Jacelyn Norris's current location address is 22895 Brambleton Plz, Brambleton, Virginia. You can contact this provider via phone number 7033273173 and fax number 7037408317. The mailing address for Jacelyn Norris is 22895 Brambleton Plz, Brambleton, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacelyn Norris
Address 22895 Brambleton Plz, Brambleton, Virginia
Phone Number 7033273173
Fax Number 7037408317
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1003995200
Provider Enumeration Date 2006-11-06
Last Updated Date 2012-05-07

Provider Mailing Address Detail

Address 22895 Brambleton Plz
City Brambleton
State Virginia (VA)
Post Code 201484876
Phone Number 7033273173
Fax Number 7037408317

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110002333
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1003995200 VA --
P00667931 VA RR MEDICARE

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FAQs about Jacelyn Norris

What is the unique identifier code issued to Jacelyn Norris by the Centers for Medicare & Medicaid Services (CMS)?

The Jacelyn Norris has been assigned the NPI (National Provider Identifier) 1003995200. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jacelyn Norris?

The Jacelyn Norris is physically situated at 22895 Brambleton Plz, in the city of Brambleton, state of VA, with the postal code 201484876.

What is Jacelyn Norris's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jacelyn Norris's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1003995200 to Jacelyn Norris?

The Centers for Medicare & Medicaid Services assigned the 1003995200 to Jacelyn Norris on 2006-11-06.

When was the Jacelyn Norris's information last updated?

The Jacelyn Norris's information was last updated on 2012-05-07.

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