Individual
MRS. JENNIFER MICHELLE MORRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
31 E CONQUISTADOR TRL, FLAGSTAFF, AZ 86001-8317
(928) 380-7600
(928) 222-0096
Mailing address
31 E CONQUISTADOR TRL, FLAGSTAFF, AZ 86001-8317
(928) 380-7600
(928) 222-0096
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
746737
—
AZ
Enumeration date
05/03/2006
Last updated
07/08/2007
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