Individual
MS. JANICE S MORRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7000 AIRPORT BLVD, MOBILE, AL 36608-3713
(251) 343-4979
(251) 343-6013
Mailing address
7000 AIRPORT BLVD, MOBILE, AL 36608-3713
(251) 343-4979
(251) 343-6013
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
156
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964120
—
AL
01
—
0440974 MEDICAID
DME PROVIDER
MS
01
—
510-56006 BCBS
DME PROVIDER
AL
01
—
631008104 ACM
DME SUPPLIER
AL
01
—
631008104 TRICARE
DME PROIDER
AL
Enumeration date
10/13/2006
Last updated
09/17/2008
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