Individual
MARY J MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1327 E BROADWAY ST STE B, CAMPBELLSVILLE, KY 42718-1599
(270) 283-4240
(270) 283-4556
Mailing address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005681
KY
363LW0102X
Women's Health Nurse Practitioner
3005681
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100394100
—
KY
Enumeration date
08/20/2008
Last updated
10/08/2020
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