Provider Demographics
NPI:1568359750
Name:NORRIS, JESSICA ANN (NP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:NORRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 OLD STAKE RD
Mailing Address - Street 2:
Mailing Address - City:TABOR CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28463-8896
Mailing Address - Country:US
Mailing Address - Phone:910-625-5836
Mailing Address - Fax:
Practice Address - Street 1:4237 RIVER HILLS DR STE 170
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-6446
Practice Address - Country:US
Practice Address - Phone:843-366-3030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30606363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care