Provider Demographics
NPI:1710487665
Name:MORRIS, STEPHINE MICHELLE (LVN)
Entity Type:Individual
Prefix:
First Name:STEPHINE
Middle Name:MICHELLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 LAMPKIN RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-0060
Mailing Address - Country:US
Mailing Address - Phone:936-223-6998
Mailing Address - Fax:
Practice Address - Street 1:207 E WALNUT ST APT 30
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:TX
Practice Address - Zip Code:75949-8645
Practice Address - Country:US
Practice Address - Phone:936-238-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX306023164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse