Healthcare Provider Details

I. General information

NPI: 1407843154
Provider Name (Legal Business Name): PATRICIA JEANNETTE MORRISON RN, PHN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 S MAIN ST
YREKA CA
96097-3321
US

IV. Provider business mailing address

808 NORTHRIDGE DR
YREKA CA
96097-2113
US

V. Phone/Fax

Practice location:
  • Phone: 530-841-2135
  • Fax: 530-841-4075
Mailing address:
  • Phone: 530-842-2935
  • Fax: 530-841-4075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number201058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: