Healthcare Provider Details
I. General information
NPI: 1821093089
Provider Name (Legal Business Name): AMY JEAN MORRIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/15/2005
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
875 POPLAR CHURCH RD SUITE 400
CAMP HILL PA
17011-2203
US
IV. Provider business mailing address
100 N ACADEMY AVE # 4903
DANVILLE PA
17822-9800
US
V. Phone/Fax
- Phone: 717-724-6450
- Fax: 717-724-6451
- Phone: 570-271-6144
- Fax: 570-271-6578
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | MA051805 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: