KELLIE JO NORRIS PMHNP NPI 1912218116

NPI Information

NPI: 1912218116
Provider Name: KELLIE JO NORRIS, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
750 E THUNDERBIRD RD STE 1-3
PHOENIX, AZ
ZIP 85022
Phone: (602) 230-7373
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Kellie Jo Norris, PMHNP is a psychiatric/mental health nurse practitioner in Phoenix, AZ. Kellie Jo Norris, PMHNP NPI is 1912218116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 E THUNDERBIRD RD STE 1-3
PHOENIX, AZ
ZIP 85022-306
Phone: (602) 230-7373

The NPI 1912218116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP10791	ARIZONA	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	52235	NEBRASKA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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