Individual
BRENDA SUE MORISON
Active
Individual
BRENDA SUE MORISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2674
OK
363AS0400X
Surgical Physician Assistant
Primary
PA666
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514170
—
TN
01
—
4304245
BCBS TN
TN
Enumeration date
07/08/2006
Last updated
08/13/2018
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