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NPI 1881660520

NPI 1881660520 : JODY M MORRISON APRN : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1881660520
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    Entity Type          |    Individual 
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    Provider Name        |    JODY M MORRISON APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    08/20/2018
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Provider Practice Location Address
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    Address Line         |    347 S LAURA ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67211
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    Country              |    US
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    Telephone            |    131-668-6711
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    Fax                  |    316-686-2679
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Provider Business Mailing Address
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    Address Line         |    347 S LAURA ST 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67211-1518
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    Country              |    US
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    Telephone            |    316-686-7117
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    Fax                  |    316-686-2679
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    44290
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    44290
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    License Number State |    KS
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