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General NPI Number Information
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NPI Number | 1194376608
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Entity Type | Individual
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Provider Name | LANDON ROBERT MORRISON PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 5513 TIMBERCREST TRL
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City | KNOXVILLE
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State | TN
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Zip | 37909-1838
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Country | US
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Telephone | 423-552-8332
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Fax | 865-409-5943
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Provider Business Mailing Address
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Address Line | 5513 TIMBERCREST TRL
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City | KNOXVILLE
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State | TN
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Zip | 37909-1838
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Country | US
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Telephone | 235-528-3324
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Fax | 865-409-5943
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0000200640
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26524
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License Number State | TN
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