Provider Demographics
NPI:1245270438
Name:MORRISON, JOVANNA DENISE (ARNP)
Entity type:Individual
Prefix:
First Name:JOVANNA
Middle Name:DENISE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JOVANNA
Other - Middle Name:DENISE
Other - Last Name:MAURER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11715 RANGELAND PKWY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-9529
Mailing Address - Country:US
Mailing Address - Phone:941-538-0088
Mailing Address - Fax:941-538-0089
Practice Address - Street 1:11715 RANGELAND PKWY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-9529
Practice Address - Country:US
Practice Address - Phone:941-538-0088
Practice Address - Fax:941-538-0089
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9205699363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY05MJOtherFL BLUE CROSS/BLUE SHIELD
45213AMedicare PIN
Q72351Medicare UPIN