Provider Demographics
NPI:1780564559
Name:NORRIS, JENNIFER (CNC, CPT, MASTER T)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:CNC, CPT, MASTER T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 PATOU DR
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-3422
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:718 PATOU DR
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530-3422
Practice Address - Country:US
Practice Address - Phone:281-512-0957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator