Provider Demographics
NPI:1710177563
Name:NORMAN, CINDY MICHELLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MICHELLE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:615-446-1359
Practice Address - Street 1:2004 HIGHWAY 47 N
Practice Address - Street 2:
Practice Address - City:WHITE BLUFF
Practice Address - State:TN
Practice Address - Zip Code:37187-4100
Practice Address - Country:US
Practice Address - Phone:615-908-3680
Practice Address - Fax:615-908-3679
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5442098Medicaid