Provider Demographics
NPI:1497158802
Name:MORRIS, TIFFANY JEANNE (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:JEANNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:4001 J ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3626
Mailing Address - Country:US
Mailing Address - Phone:916-736-8087
Mailing Address - Fax:
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:319
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2266
Practice Address - Country:US
Practice Address - Phone:925-674-2880
Practice Address - Fax:925-674-2883
Is Sole Proprietor?:No
Enumeration Date:2014-09-30
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA711562163WC0200X
CA95000754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine