Provider Demographics
NPI:1942745534
Name:NORTON, JENNIFER (L AC, DOM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:L AC, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 E ALTAMONTE DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4612
Mailing Address - Country:US
Mailing Address - Phone:407-900-1098
Mailing Address - Fax:
Practice Address - Street 1:460 E ALTAMONTE DR
Practice Address - Street 2:SUITE 2300
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4612
Practice Address - Country:US
Practice Address - Phone:407-900-1098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3031171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL171100000XOtherLICENSED ACUPUNCTURIST