Provider Demographics
NPI:1033653852
Name:MORRISON, HILARY L (MSM, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:L
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MSM, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:497 CALLIE AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6750
Mailing Address - Country:US
Mailing Address - Phone:740-727-0003
Mailing Address - Fax:
Practice Address - Street 1:2308D MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3929
Practice Address - Country:US
Practice Address - Phone:615-382-8144
Practice Address - Fax:615-382-8145
Is Sole Proprietor?:No
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2929363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant