Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 1-122423 | AL |
NPI | 1053828459 |
---|---|
Provider Name | Mrs. Jessica Barlow Morrison |
First Address | Trussville, AL 35173-6335 |
Second Address | Birmingham, AL 35233-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2018 |
Last Update Date | 07/01/2018 |