Individual provider · NPI-1

Jennifer Hector-Norris

Registered Nurse, Psych/Mental Health, Adult · Middletown, NY

NPI number1639617046
StatusActive
Last updated in NPPESMay 31, 2024

Details

NPI
1639617046
Entity type
Individual (NPI-1)
Name
Jennifer Hector-Norris
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2017
Certification date
May 31, 2024
Last updated
May 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult563340NYYes
163W00000X Registered Nurse563340NY
163WC1500X Registered Nurse, Community Health563340NY
163WH0200X Registered Nurse, Home Health563340NY
363LA2200X Nurse Practitioner, Adult HealthF311182-01NY
363LG0600X Nurse Practitioner, GerontologyF311182-01NY

Practice location

45 Ashley Ave
Middletown, NY 10940-1912

Phone 845-707-1646

Mailing address

Po Box 407
Youngsville, NY 12791-0407

Phone 845-482-2013

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