Individual
MRS. BERNICE IMOGENE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3175
Mailing address
7780 N CLINTON ST, TERRE HAUTE, IN 47805-1114
(812) 243-9187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28171803A
IN
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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