Provider Demographics
NPI:1134216633
Name:MORRIS, TERASA ELAINE (NP)
Entity type:Individual
Prefix:
First Name:TERASA
Middle Name:ELAINE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6393 TEMPLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-7140
Mailing Address - Country:US
Mailing Address - Phone:615-417-4816
Mailing Address - Fax:
Practice Address - Street 1:6393 TEMPLE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-7140
Practice Address - Country:US
Practice Address - Phone:615-417-4816
Practice Address - Fax:615-250-3938
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPRN 7758363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ023233Medicaid
TN3634501Medicare ID - Type Unspecified
TN4115761Medicaid
TNQ05590Medicare UPIN