Provider Demographics
NPI:1104182203
Name:MORRIS, APRIL NICOLE (FNP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
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 1:604 E BAILEY BOSWELL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3567
Mailing Address - Country:US
Mailing Address - Phone:817-484-6610
Mailing Address - Fax:817-423-7476
Practice Address - Street 1:604 E BAILEY BOSWELL RD
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-3567
Practice Address - Country:US
Practice Address - Phone:817-484-6610
Practice Address - Fax:817-423-7476
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX702921363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB160697Medicare PIN
TXTXB160695Medicare PIN
TXTXB160696Medicare PIN