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NPI Code Detail

MEDICARE: AUTUMN BRIANNE MORRIS CPNP-PC

MEDICARE: AUTUMN BRIANNE MORRIS CPNP-PC
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
1363LP2300XPrimary Care Nurse PractitionerAP118426TX

General Provider Information

NPI Number : 1629306709
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN BRIANNE MORRIS CPNP-PC
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 817-885-1855
Fax Number :
Provider Business Practice Location Address
First Line : 1500 W ROSEDALE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7403
Country : US
Telephone Number : 682-885-3426
Fax Number : 682-885-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2009
Last Update Date : 05/06/2021

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