Provider Demographics
NPI:1073548236
Name:MORRIS, JANA MAREE (ARNP)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:MAREE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 S. JACKSON
Mailing Address - Street 2:BOX 10
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951
Mailing Address - Country:US
Mailing Address - Phone:620-544-8563
Mailing Address - Fax:620-544-7362
Practice Address - Street 1:1006 S. JACKSON
Practice Address - Street 2:BOX 10
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951
Practice Address - Country:US
Practice Address - Phone:620-544-8563
Practice Address - Fax:620-544-7362
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44283363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS161476OtherBCBS
KS100386000AMedicaid
S25881Medicare UPIN
KS160576Medicare ID - Type Unspecified