Healthcare Provider Details

I. General information

NPI: 1528091295
Provider Name (Legal Business Name): BRENDA SUE MORISON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E OAK HILL AVE STE 500
KNOXVILLE TN
37917
US

IV. Provider business mailing address

900 E OAK HILL AVE STE 500
KNOXVILLE TN
37917-4523
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-3350
  • Fax: 865-647-3359
Mailing address:
  • Phone: 865-647-3350
  • Fax: 865-647-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2674
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA666
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: