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NPI Code Detail

MEDICARE: JONATHAN L MORRIS APRN

MEDICARE: JONATHAN L MORRIS 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
1363LF0000XFamily Nurse Practitioner4045989KY

General Provider Information

NPI Number : 1518831015
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN L MORRIS APRN
Provider Business Mailing Address
First Line : 201 PARK ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42101-1708
Country : US
Telephone Number : 270-773-2600
Fax Number :
Provider Business Practice Location Address
First Line : 400 N DIXIE HWY
Second Line :
City : CAVE CITY
State : KY
Zip : 42127-9546
Country : US
Telephone Number : 270-773-2600
Fax Number : 270-361-5101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 09/30/2025

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