MEDICARE: JESSICA MORROW APRN

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
1	363LF0000X	Family Nurse Practitioner	A005982	AR

General Provider Information

NPI Number	:	1396217634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MORROW APRN

Provider Business Mailing Address
First Line	:	3401 SPRINGHILL DR STE 390
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2937
Country	:	US
Telephone Number	:	501-835-9444
Fax Number	:	501-907-1548

Provider Business Practice Location Address
First Line	:	3401 SPRINGHILL DR STE 390
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2937
Country	:	US
Telephone Number	:	501-835-9444
Fax Number	:	501-907-1548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2018
Last Update Date	:	12/27/2018

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