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NPI Code Detail

MEDICARE: JANE Q MORTON NURSE

MEDICARE: JANE Q MORTON NURSE
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
1163WC1500XCommunity Health Registered Nurse1333681TN

General Provider Information

NPI Number : 1831227107
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE Q MORTON NURSE
Provider Business Mailing Address
First Line : 51 SMITH STREET
Second Line :
City : HOHENWALD
State : TN
Zip : 38462
Country : US
Telephone Number : 931-796-2204
Fax Number : 931-796-1625
Provider Business Practice Location Address
First Line : 51 SMITH AVE
Second Line :
City : HOHENWALD
State : TN
Zip : 38462-1124
Country : US
Telephone Number : 931-796-2204
Fax Number : 931-796-1625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 09/07/2023

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