Individual
JACQUELINE ANN MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
21755 KNUDSEN DR, GROSSE ILE, MI 48138-1320
(313) 460-4401
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
APRN.CNP.026667
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704215257
MI
Other
Enumeration date
10/09/2019
Last updated
03/15/2021
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