Healthcare Provider Details

I. General information

NPI: 1255186359
Provider Name (Legal Business Name): YVETTE LYNN MORTON DNP, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 COUNTY ROAD 513
RIENZI MS
38865-9514
US

IV. Provider business mailing address

337 COUNTY ROAD 513
RIENZI MS
38865-9514
US

V. Phone/Fax

Practice location:
  • Phone: 662-415-4596
  • Fax:
Mailing address:
  • Phone: 662-415-4596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number1255186359
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: