Provider Demographics
NPI:1649152216
Name:COOK-MORRISON, MARSELLE JANISE
Entity type:Individual
Prefix:
First Name:MARSELLE
Middle Name:JANISE
Last Name:COOK-MORRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 N FURLONG DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-0630
Mailing Address - Country:US
Mailing Address - Phone:765-268-0096
Mailing Address - Fax:
Practice Address - Street 1:164 N FURLONG DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-0630
Practice Address - Country:US
Practice Address - Phone:765-268-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN000000000376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker