Provider Demographics
NPI:1942725833
Name:MCMORRIS, LATONYA S (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:LATONYA
Middle Name:S
Last Name:MCMORRIS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PARNASSUS AVE STE A808
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2202
Mailing Address - Country:US
Mailing Address - Phone:415-353-7500
Mailing Address - Fax:415-514-8949
Practice Address - Street 1:15784 MEDICAL ARTS DR STE A
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1474
Practice Address - Country:US
Practice Address - Phone:985-230-7525
Practice Address - Fax:985-230-7335
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204337363L00000X, 363LG0600X
MS902143363L00000X
CA95021792363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner