Provider Demographics
NPI:1407843154
Name:MORRISON, PATRICIA JEANNETTE (RN, PHN, NP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEANNETTE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RN, PHN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-2113
Mailing Address - Country:US
Mailing Address - Phone:530-842-2935
Mailing Address - Fax:530-841-4075
Practice Address - Street 1:806 S MAIN ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3321
Practice Address - Country:US
Practice Address - Phone:530-841-2135
Practice Address - Fax:530-841-4075
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201058163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1095OtherNURSE PRACTITIONER
CA201058OtherREGISTERED NURSE