Individual
MARISSA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 685-2696
Mailing address
6060 PRIMACY PKWY STE 241, MEMPHIS, TN 38119-5743
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892509
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
26071
TN
Other
Enumeration date
02/27/2019
Last updated
07/24/2019
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