Healthcare Provider Details

I. General information

NPI: 1104792142
Provider Name (Legal Business Name): JENNIFER NICOLE MORRISON APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 HIGHLAND RD
BATESVILLE AR
72501-3699
US

IV. Provider business mailing address

83 JILL CIR
SOUTHSIDE AR
72501-8067
US

V. Phone/Fax

Practice location:
  • Phone: 870-307-7425
  • Fax: 855-299-3278
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235137
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: