Provider Demographics
NPI:1932670650
Name:NORRIS, ALECIA (NURSING ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:NURSING ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 DOWNS WAY
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-7853
Mailing Address - Country:US
Mailing Address - Phone:404-573-3409
Mailing Address - Fax:
Practice Address - Street 1:5531 DOWNS WAY
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-7853
Practice Address - Country:US
Practice Address - Phone:404-573-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X, 253Z00000X, 374K00000X, 385H00000X
GACN0028886797376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No385H00000XRespite Care FacilityRespite Care