Provider Demographics
NPI:1891105938
Name:MORRIS, ADRIENNE NICHOLE (DVM, BS)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:NICHOLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DVM, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37416 HACKNEY PL
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-9716
Mailing Address - Country:US
Mailing Address - Phone:813-957-4131
Mailing Address - Fax:
Practice Address - Street 1:37416 HACKNEY PL
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-9716
Practice Address - Country:US
Practice Address - Phone:813-957-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM12040174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian