Mr. Mark Eric Morris
Nurse Practitioner - Acute Care
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
Mr. Mark Eric Morris
Nurse Practitioner - Acute Care
530 Ne Glen Oak Ave
Peoria
, Illinois 61637-0001
(309) 243-8114
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mr. Mark Eric Morris
- 103 W Copperfield Dr
- Dunlap, IL
- Zip : 61525-9650
- Phone : (309) 243-8114
Second Address
- Mr. Mark Eric Morris
- 530 Ne Glen Oak Ave
- Peoria, IL
- Zip : 61637-0001
- Phone : (309) 655-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 209004414 | IL |
National Provider Identifier
| NPI | 1023237476 |
|---|---|
| Provider Name | Mr. Mark Eric Morris |
| First Address | Dunlap, IL 61525-9650 |
| Second Address | Peoria, IL 61637-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 21/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.