Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | AG0315087 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | AG0315087 | FL |
NPI | 1033599170 |
---|---|
Provider Name | Ms. Janice Pearl Morrison |
First Address | Palm Beach Gardens, FL 33418-5767 |
Second Address | Palm Beach Gardens, FL 33410-5417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2015 |
Last Update Date | 05/03/2020 |