Provider Demographics
NPI:1578989323
Name:NORTON, JEAN STEWART (RN)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:STEWART
Last Name:NORTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:609 N TOWNVILLE STREET
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29679-0488
Mailing Address - Country:US
Mailing Address - Phone:864-882-2245
Mailing Address - Fax:
Practice Address - Street 1:609 N TOWNVILLE ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2642
Practice Address - Country:US
Practice Address - Phone:864-882-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36006163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse