Individual
MRS. SUSAN GAIL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1911 S NATIONAL AVE STE 301, SPRINGFIELD, MO 65804
(417) 725-8250
(417) 724-3084
Mailing address
1911 S NATIONAL AVE STE 301, SPRINGFIELD, MO 65804-2213
(417) 886-5000
(417) 886-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2002105397
MO
363LP2300X
Primary Care Nurse Practitioner
RN2002015397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750412052
—
MO
Enumeration date
03/08/2007
Last updated
09/05/2018
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