Provider Demographics
NPI:1023862919
Name:MORRIS, EMILY NICOLE (CNA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:NICOLE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 SAM SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-7032
Mailing Address - Country:US
Mailing Address - Phone:615-336-8862
Mailing Address - Fax:
Practice Address - Street 1:1255 SAM SIMPSON RD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-7032
Practice Address - Country:US
Practice Address - Phone:615-336-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN105808376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide