Provider Demographics
NPI:1629092853
Name:MORRIS, LAURA P (ACNP-C)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:P
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ACNP-C
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:PRIEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-C
Mailing Address - Street 1:3970 DEPUTY BILL CANTRELL MEMORIAL RD
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040
Mailing Address - Country:US
Mailing Address - Phone:678-513-2273
Mailing Address - Fax:678-513-8869
Practice Address - Street 1:3970 DEPUTY BILL CANTRELL MEMORIAL RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040
Practice Address - Country:US
Practice Address - Phone:678-513-2273
Practice Address - Fax:678-513-8869
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA153095363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP37464Medicare UPIN
GA50BBFCLMedicare ID - Type Unspecified