Provider Demographics
NPI:1770780769
Name:MORRISON, TESSA EILEEN (LPN)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:EILEEN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27750 WEST RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:OH
Mailing Address - Zip Code:44275-9406
Mailing Address - Country:US
Mailing Address - Phone:419-606-2596
Mailing Address - Fax:
Practice Address - Street 1:27750 WEST RD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:OH
Practice Address - Zip Code:44275-9406
Practice Address - Country:US
Practice Address - Phone:419-606-2596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 112617164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse