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Individual

MR. JAMEY LYNN MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124267
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN15115
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003100759A
GA
01
1144531914
TRICARE
TN
05
125520
AL
05
1521930
TN
01
4275746
BLUE CROSS BLUE SHIELD TN
TN
01
P00947625
RAILROAD MEDICARE
TN
Enumeration date
06/28/2010
Last updated
08/13/2012
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