Provider Demographics
NPI:1619552247
Name:MORWAY, JESSICA RAQUEL (RNFA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:RAQUEL
Last Name:MORWAY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8260 E ARABIAN TRL UNIT 263
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1879
Mailing Address - Country:US
Mailing Address - Phone:408-219-9664
Mailing Address - Fax:
Practice Address - Street 1:8260 E ARABIAN TRL UNIT 263
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1879
Practice Address - Country:US
Practice Address - Phone:408-219-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN212861163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant