Provider Demographics
NPI:1740384320
Name:NORTON, JEFFREY FRANKLIN (PA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:FRANKLIN
Last Name:NORTON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 HILLVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-1285
Mailing Address - Country:US
Mailing Address - Phone:615-740-0080
Mailing Address - Fax:615-467-8797
Practice Address - Street 1:196 HILLVIEW ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-1285
Practice Address - Country:US
Practice Address - Phone:615-740-0080
Practice Address - Fax:615-467-8797
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1256363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511203Medicaid
TN36635321Medicaid
TN4207957OtherBCBS
TN4216838OtherBCBS
TN4216838OtherBCBS
TN0922510001Medicare PIN