Provider Demographics
NPI:1598865362
Name:NORTON, SHERIE R (FNP)
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:R
Last Name:NORTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 CITY AVE N
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663
Mailing Address - Country:US
Mailing Address - Phone:662-837-2245
Mailing Address - Fax:662-837-2246
Practice Address - Street 1:1009 CITY AVE N
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-1414
Practice Address - Country:US
Practice Address - Phone:662-837-2245
Practice Address - Fax:662-837-2246
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR827517363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05255096Medicaid
MSQ34861Medicare UPIN