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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNNE MORRIS PA

MEDICARE: MRS. JENNIFER LYNNE MORRIS PA
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
1363A00000XPhysician AssistantC03797MD

General Provider Information

NPI Number : 1992916688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNNE MORRIS PA
Provider Business Mailing Address
First Line : 2000 MEDICAL PKWY STE 409
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3746
Country : US
Telephone Number : 443-481-6598
Fax Number :
Provider Business Practice Location Address
First Line : 2000 MEDICAL PKWY STE 101
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-3743
Country : US
Telephone Number : 410-268-8862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 01/26/2024

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