Provider Demographics
NPI:1598775744
Name:MORRISON, CAROL W (CRNP)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:W
Last Name:MORRISON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 ELBA HWY
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36079-6020
Mailing Address - Country:US
Mailing Address - Phone:334-670-6726
Mailing Address - Fax:334-670-6731
Practice Address - Street 1:18131 DOZIER HIGHWAY
Practice Address - Street 2:
Practice Address - City:DOZIER
Practice Address - State:AL
Practice Address - Zip Code:36028-0100
Practice Address - Country:US
Practice Address - Phone:334-496-3521
Practice Address - Fax:334-496-3648
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-074400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL631803019Medicaid
AL51051131OtherBCBS
S89160Medicare UPIN
AL631803019Medicaid