Provider Demographics
NPI:1760517684
Name:MORRIS, LINDA GAY (ARNP-BC, CNS, PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:GAY
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ARNP-BC, CNS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9647 PORTA LEONA LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-2775
Mailing Address - Country:US
Mailing Address - Phone:561-523-2155
Mailing Address - Fax:561-880-6991
Practice Address - Street 1:9647 PORTA LEONA LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-2775
Practice Address - Country:US
Practice Address - Phone:561-523-2155
Practice Address - Fax:561-880-6991
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2641072363LP0808X
FLARNP2641072363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL769010000Medicaid