Healthcare Provider Details

I. General information

NPI: 1619012846
Provider Name (Legal Business Name): PAULA ANN MORRIS F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 10/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 FRANKLIN RD SUITE 300
HATTIESBURG MS
39402-1588
US

IV. Provider business mailing address

6524 U S HIGHWAY 98
HATTIESBURG MS
39402-8569
US

V. Phone/Fax

Practice location:
  • Phone: 601-268-9393
  • Fax: 601-268-9559
Mailing address:
  • Phone: 601-268-9393
  • Fax: 601-268-9559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR853775
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: