Provider Demographics
NPI:1063826956
Name:MORRISON, TRACY C (APRN)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BUFORD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3365
Mailing Address - Country:US
Mailing Address - Phone:864-261-9506
Mailing Address - Fax:864-226-4201
Practice Address - Street 1:102 BUFORD AVE STE A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3365
Practice Address - Country:US
Practice Address - Phone:864-261-9506
Practice Address - Fax:864-226-4201
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily