Individual
JANA NIKOLE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 233-6100
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(580) 233-6100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1383
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200044140A
—
OK
Enumeration date
02/17/2006
Last updated
12/22/2020
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