Individual
JENNIFER M MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
250 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5904
(865) 980-5200
(865) 980-5201
Mailing address
PO BOX 5777, MARYVILLE, TN 37802-5777
(865) 246-2104
(865) 246-2106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
129007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129007
ADVANCED PRACTICE NURSE #
TN
05
—
3909721
—
TN
01
—
4029947
BLUE CROSS BLUE SHIELD #
TN
Enumeration date
06/14/2006
Last updated
12/03/2015
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