Provider Demographics
NPI:1588903181
Name:MORRELL, TAI LYNN (NP)
Entity type:Individual
Prefix:MS
First Name:TAI
Middle Name:LYNN
Last Name:MORRELL
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:30 W RAMPART ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8846
Mailing Address - Country:US
Mailing Address - Phone:317-421-2012
Mailing Address - Fax:317-398-1851
Practice Address - Street 1:2451 INTELLIPLEX DR
Practice Address - Street 2:STE 260
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8580
Practice Address - Country:US
Practice Address - Phone:317-398-0121
Practice Address - Fax:317-398-0538
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2024-01-17
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Provider Licenses
StateLicense IDTaxonomies
IN28183930A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care