Provider Demographics
NPI:1871130724
Name:MORRISON, JILL P (RN)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:P
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MISSION AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:CASHMERE
Mailing Address - State:WA
Mailing Address - Zip Code:98815-1608
Mailing Address - Country:US
Mailing Address - Phone:206-817-1434
Mailing Address - Fax:
Practice Address - Street 1:203 MISSION AVE STE 202
Practice Address - Street 2:
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815-1608
Practice Address - Country:US
Practice Address - Phone:206-817-1434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00089206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse