Provider Demographics
NPI:1609560168
Name:MORRIS-JOHN, GRACE (CD/PCD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:
Last Name:MORRIS-JOHN
Suffix:
Gender:F
Credentials:CD/PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-1961
Mailing Address - Country:US
Mailing Address - Phone:618-530-1799
Mailing Address - Fax:
Practice Address - Street 1:3142 N 26TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-1961
Practice Address - Country:US
Practice Address - Phone:618-530-1799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14696374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula