Individual provider · Type 1 NPI
Jackson Norris, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Urbana, MO
NPI number
1174205876
Active
Practice location
406 S Dallas St
Urbana, MO 65767-9144
Mailing address
PO Box 125
Hermitage, MO 65668-0125
Other practice locations
- 18614 Jackson St, Hermitage, MO 65668-8204 · (417) 745-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2023088856 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1174205876
Jackson Norris, PMHNP's National Provider Identifier is 1174205876, issued on Aug 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Urbana, MO. The record was last updated on Aug 2, 2023.