Jennifer M Morris, PA-C, PLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2745 Issued in AZ

Legal business name

JENNIFER M MORRIS, PA-C, PLC

Doing business as

Revolution Medicine LLC

Practice address

718 N Humphreys St Ste 203
Flagstaff, AZ 86001-3014

Phone

(928) 380-7600

NPI assigned

Apr 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jennifer Michelle Morris, PA-C

Title

Manager

Phone

(928) 380-7600

Specialties & licenses 1

Addresses

Other names 1

• Revolution Medicine LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1205053279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W GNEISS TRL",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018382",
            "telephone_number": "928-380-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N HUMPHREYS ST STE 203",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013014",
            "telephone_number": "928-380-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 E Flat Rock Rdg",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860011964",
            "country_code": "US",
            "telephone_number": "928-380-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER M MORRIS, PA-C, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-380-7600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Medicine LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.