Provider Demographics
NPI:1083033294
Name:MORRIS, BEATRICE BRINT (FNP)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:BRINT
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1264 WESLEY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6433
Mailing Address - Country:US
Mailing Address - Phone:901-516-3872
Mailing Address - Fax:901-516-3877
Practice Address - Street 1:1264 WESLEY DR STE 103
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6433
Practice Address - Country:US
Practice Address - Phone:901-516-3872
Practice Address - Fax:901-516-3877
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000016658363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner