Provider Demographics
NPI:1760804181
Name:GERRI MORRISON
Entity Type:Organization
Organization Name:GERRI MORRISON
Other - Org Name:UPPER ROOM FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GERRI
Authorized Official - Middle Name:FISHER
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:828-465-6800
Mailing Address - Street 1:105B N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3213
Mailing Address - Country:US
Mailing Address - Phone:828-465-6800
Mailing Address - Fax:828-465-6806
Practice Address - Street 1:105B N MAIN AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3213
Practice Address - Country:US
Practice Address - Phone:828-465-6800
Practice Address - Fax:828-465-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5002924261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1619005360OtherINDIVIDUAL PROVIDER NPI