Healthcare Provider Details

I. General information

NPI: 1396930889
Provider Name (Legal Business Name): MRS. CHRISTINA SCOTT MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2007
Last Update Date: 09/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 CANYON RD
MEMPHIS TN
38134-3115
US

IV. Provider business mailing address

3155 CANYON RD
MEMPHIS TN
38134-3115
US

V. Phone/Fax

Practice location:
  • Phone: 901-438-2438
  • Fax:
Mailing address:
  • Phone: 901-438-2438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: