Provider Demographics
NPI:1619206497
Name:NORTON, JILL ANN (RNC,WHNP)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:ANN
Last Name:NORTON
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 E LAKEWOOD ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-2434
Mailing Address - Country:US
Mailing Address - Phone:417-887-5500
Mailing Address - Fax:
Practice Address - Street 1:1135 E LAKEWOOD ST
Practice Address - Street 2:SUITE 112
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65810-2434
Practice Address - Country:US
Practice Address - Phone:417-887-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO089205363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health