Healthcare Provider Details

I. General information

NPI: 1588602312
Provider Name (Legal Business Name): JUDITH KAY MORRIS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JUDITH KAY GRIFFITH

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 5TH AVE NW
ATTALLA AL
35954-2214
US

IV. Provider business mailing address

425 5TH AVE NW
ATTALLA AL
35954-2214
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-7800
  • Fax: 256-494-5536
Mailing address:
  • Phone: 256-492-7800
  • Fax: 256-494-5536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1083991
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-083991
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: