Healthcare Provider Details

I. General information

NPI: 1043122492
Provider Name (Legal Business Name): DONELL L MORRISON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST
SAN FRANCISCO CA
94121-1563
US

IV. Provider business mailing address

PO BOX 95
CUTTEN CA
95534-0095
US

V. Phone/Fax

Practice location:
  • Phone: 707-269-2800
  • Fax:
Mailing address:
  • Phone: 707-269-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61312537
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: