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NPI Code Detail

MEDICARE: REBECCA MORRIS ARNP

MEDICARE:   REBECCA  MORRIS  ARNP
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
1163W00000XRegistered Nurse2620172FL
2363LF0000XFamily Nurse Practitioner2620172FL
3363L00000XNurse Practitioner2620172FL

General Provider Information

NPI Number : 1346633393
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MORRIS ARNP
Provider Business Mailing Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3588
Country : US
Telephone Number : 904-802-6800
Fax Number :
Provider Business Practice Location Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256
Country : US
Telephone Number : 904-802-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2015
Last Update Date : 06/20/2019

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Directions to “ REBECCA MORRIS ARNP” Practice Location

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