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NPI Code Detail

MEDICARE: MS. JAYNE A. MORRISON A.P.N.

MEDICARE: MS. JAYNE A. MORRISON A.P.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209-009444IL

General Provider Information

NPI Number : 1154697233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAYNE A. MORRISON A.P.N.
Provider Business Mailing Address
First Line : 1207 NETWORK CENTRE DR STE 3
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-4632
Country : US
Telephone Number : 217-347-2707
Fax Number :
Provider Business Practice Location Address
First Line : 900 W TEMPLE AVE STE 205
Second Line :
City : EFFINGHAM
State : IL
Zip : 62401-2187
Country : US
Telephone Number : 217-347-0458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2012
Last Update Date : 08/30/2016

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