Provider Demographics
NPI:1669004289
Name:NORWOOD, CHRISTINA D
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2069 TALLADEGA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-2639
Mailing Address - Country:US
Mailing Address - Phone:904-476-3269
Mailing Address - Fax:
Practice Address - Street 1:2069 TALLADEGA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-2639
Practice Address - Country:US
Practice Address - Phone:904-476-3269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health