Provider Demographics
NPI:1093576340
Name:MORRIS, DANNETTE NICHELLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:DANNETTE
Middle Name:NICHELLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 STONERIDGE DR S STE 100
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-3096
Mailing Address - Country:US
Mailing Address - Phone:434-654-1850
Mailing Address - Fax:
Practice Address - Street 1:140 STONERIDGE DR S STE 100
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-3096
Practice Address - Country:US
Practice Address - Phone:434-654-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily