Provider Demographics
NPI:1134801319
Name:JIRON, NORMA JEAN
Entity type:Individual
Prefix:
First Name:NORMA JEAN
Middle Name:
Last Name:JIRON
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 1:104 7TH AVE NW APT 1
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-2613
Mailing Address - Country:US
Mailing Address - Phone:701-561-2530
Mailing Address - Fax:
Practice Address - Street 1:104 7TH AVE NW APT 1
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-2613
Practice Address - Country:US
Practice Address - Phone:701-561-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant