Provider Demographics
NPI:1871353128
Name:NORTON, ISABELLA GRACE (PA)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GRACE
Last Name:NORTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:GRACE
Other - Last Name:GIDDENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 HUMPHREYS CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2366
Mailing Address - Country:US
Mailing Address - Phone:901-747-0040
Mailing Address - Fax:901-747-0038
Practice Address - Street 1:55 HUMPHREYS CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2366
Practice Address - Country:US
Practice Address - Phone:901-747-0040
Practice Address - Fax:901-747-0038
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant