Individual
MR. JEREMY WADE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
Mailing address
PO BOX 122165, DEPT 2165, DALLAS, TX 75312-2165
(337) 494-4900
(337) 494-4936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN114079
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
APO6644
LA
Other
Enumeration date
08/02/2011
Last updated
09/01/2016
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