Jacob Earl Morrison
Individual provider Active NPI Peer Specialist · Kansas, OK
NPI 1548099062 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1548099062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 325 Valley Wood Rd
Kansas, OK 74347-9327 - Phone
- (479) 228-0074
- NPI assigned
- Aug 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
325 Valley Wood Rd
Kansas, OK 74347-9327
Mailing address
325 Valley Wood Rd
Kansas, OK 74347-9327
Phone (479) 228-0074
Other providers in Kansas, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.