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Individual

JANE M MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1055 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3671
(800) 968-6866
Mailing address
1055 MEDICAL PARK DR SE, GRAND RAPIDS, MI 49546-3671
(800) 968-6866

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704154954
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704154954
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4308200
MI
01
JM154954
BLUE CROSS BLUE SHIELD
Enumeration date
09/12/2005
Last updated
08/13/2007
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