Provider Demographics
NPI:1093364093
Name:MORRIS, SARAH JEANETTE (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEANETTE
Last Name:MORRIS
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 1:220 COUNTY ROAD 4406
Mailing Address - Street 2:
Mailing Address - City:ANNONA
Mailing Address - State:TX
Mailing Address - Zip Code:75550-4221
Mailing Address - Country:US
Mailing Address - Phone:903-933-9244
Mailing Address - Fax:
Practice Address - Street 1:120 FARM ROAD 2825
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75426-3348
Practice Address - Country:US
Practice Address - Phone:903-427-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX599492163W00000X
TXAP142834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse