Provider Demographics
NPI:1659116424
Name:NORRIS, MESHELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:MESHELLE
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 W US HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:75855-4564
Mailing Address - Country:US
Mailing Address - Phone:903-545-0101
Mailing Address - Fax:
Practice Address - Street 1:491 W US HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:TX
Practice Address - Zip Code:75855-4564
Practice Address - Country:US
Practice Address - Phone:903-545-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1167698363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner