Provider Demographics
NPI:1659531606
Name:HENRY-NORTON, JONNA LYNN (LMT)
Entity Type:Individual
Prefix:
First Name:JONNA
Middle Name:LYNN
Last Name:HENRY-NORTON
Suffix:
Gender:F
Credentials:LMT
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 536051
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-6051
Mailing Address - Country:US
Mailing Address - Phone:407-716-9721
Mailing Address - Fax:
Practice Address - Street 1:5026 SILVER STAR RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4545
Practice Address - Country:US
Practice Address - Phone:407-704-7849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2009-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA41803174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist