Morris, Jennifer Michelle

Morris, Jennifer Michelle is an individual health care provider with primary practice located at 31 E Conquistador Trl , Flagstaff AZ 86001-8317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Morris, Jennifer Michelle can be contacted via phone (928) 380-7600.

Contact Information

Primary practice address
31 E Conquistador Trl Flagstaff AZ 86001-8317
Fax: (928) 222-0096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2745 Arizona

Profile Details

NPI number 1750349338
LBN Legal business name Morris, Jennifer Michelle
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750349338 NPPES
Arizona MEDICAID 746737

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