Provider Demographics
NPI:1518328095
Name:MORRIS, DESTINY LENAYE (FNP-C)
Entity Type:Individual
Prefix:
First Name:DESTINY
Middle Name:LENAYE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DESTINY
Other - Middle Name:LENAYE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1647 CROSSWINDS TRL NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5867
Mailing Address - Country:US
Mailing Address - Phone:423-400-4302
Mailing Address - Fax:
Practice Address - Street 1:312 PROSPERITY DR STE 103
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4722
Practice Address - Country:US
Practice Address - Phone:865-299-7525
Practice Address - Fax:865-338-5604
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily