Female

Jenna M. Morton PA-C

Medical Physician Assistant in Hollywood, FL(View on Map)

Full Name

Jenna Mayfield Morton PA-C

NPI Number

1942709217

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/01/2018

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Tennessee

License Number

PA9115138
3516

Contact
Information

Purpose

Mailing
Location

Address

3590 PIAZZA DR APT 110
200 S PARK RD STE 200

City

Fort Myers
Hollywood

State

FL
FL

Postal Code

33916-8111
33021-8541

Country

US
US

Telephone Number

(931) 808-1414
(866) 986-2263

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/10/2022

Provider Address

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