Basic Information
| Provider Information | |||||||||
| NPI: | 1831557263 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORSE | ||||||||
| FirstName: | JILLIAN | ||||||||
| MiddleName: | BROOKE | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2764 FOUNTAIN VIEW CIR | ||||||||
| Address2: | APARTMENT 107 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341092725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102418299 | ||||||||
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| Practice Location | |||||||||
| Address1: | 550 W WESTERN AVE | ||||||||
| Address2: | SUITE B | ||||||||
| City: | MUSKEGON | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494401045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2317264498 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2016 | ||||||||
| LastUpdateDate: | 01/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 4704249072 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.