Healthcare Provider Details

I. General information

NPI: 1932128352
Provider Name (Legal Business Name): PATRICIA LOUISE MORRISON APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MESSIMER DR
NEWARK OH
43055-1874
US

IV. Provider business mailing address

65 MESSIMER DR
NEWARK OH
43055-1874
US

V. Phone/Fax

Practice location:
  • Phone: 740-788-3400
  • Fax: 740-788-3401
Mailing address:
  • Phone: 740-788-3400
  • Fax: 740-788-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCOA-06726-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: