Healthcare Provider Details

I. General information

NPI: 1003914060
Provider Name (Legal Business Name): AMY JOY MORRIS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5688 N COLONIAL AVE
FRESNO CA
93704-1814
US

IV. Provider business mailing address

5688 N COLONIAL AVE
FRESNO CA
93704-1814
US

V. Phone/Fax

Practice location:
  • Phone: 559-431-4588
  • Fax: 559-431-4588
Mailing address:
  • Phone: 559-431-4588
  • Fax: 559-431-4588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number568980
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: