Provider Demographics
NPI:1497808596
Name:NORRIS, JESSICA DAWN EHR (MS)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DAWN EHR
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 STONEYBROOK DR APT 316
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1293
Mailing Address - Country:US
Mailing Address - Phone:949-351-9863
Mailing Address - Fax:
Practice Address - Street 1:4405 VANDEVER AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3315
Practice Address - Country:US
Practice Address - Phone:196-516-6438
Practice Address - Fax:619-516-6432
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Single Specialty