| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROL JAN MORRIS | 1144996034 | 2024-11-10 |
Carol Jan Morris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144996034. Registration indicates Carol Jan Morris is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Carol Jan Morris FNP-C |
| Practice Office Address | 10 TOWER DR SUN PRAIRIE, WI US |
| Practice Office Telephone | 6088253500 |
| Practice Office Fax | 6088253786 |
| Mailing Address | 10 TOWER DR SUN PRAIRIE, WI 535901239 US |
| Business Telephone | 6088253500 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 10 Tower Dr | Sun Prairie, WI 535901239 | 6088253500 / 6088253786 |
| Direct Messaging Address [[email protected]] | [email protected] | Direct |
| FHIR URL [CCD] | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other FHIR API |
| Other URL [] | N/A | The Little Clinic, LLC |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 14558
WI |
| 1144996034 | MEDICAID | WI |