Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5007779 | NC |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5007779 | NC |
NPI | 1013391663 |
---|---|
Provider Name | Cheryl Norris |
First Address | Fayetteville, NC 28304-3424 |
Second Address | Fayetteville, NC 28304-3424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2015 |
Last Update Date | 01/02/2022 |