Provider Demographics
NPI:1447929138
Name:MORRIS, REBECCA RENEE (DNP, CNM, WHNP-BC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RENEE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DNP, CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CREEKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4774
Mailing Address - Country:US
Mailing Address - Phone:732-570-4068
Mailing Address - Fax:
Practice Address - Street 1:6 CREEKSIDE CT
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4774
Practice Address - Country:US
Practice Address - Phone:732-570-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
25ME00076101176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25ME00076101OtherCERTIFIED NURSE MIDWIFE LICENSE