Provider Demographics
NPI:1245740141
Name:MORRISSEY, THOMAS (FNP)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:MORRISSEY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 MEZZO CV
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-8616
Mailing Address - Country:US
Mailing Address - Phone:828-506-5067
Mailing Address - Fax:
Practice Address - Street 1:556 HAZELWOOD AVE
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-2067
Practice Address - Country:US
Practice Address - Phone:828-452-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily