Provider Demographics
NPI:1184978322
Name:MORRIS, MICHELE ELIZABETH (FNP-BC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:ELIZABETH
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:ELIZABETH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7200 HERITAGE VILLAGE PLZ
Mailing Address - Street 2:SUITE #101
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3069
Mailing Address - Country:US
Mailing Address - Phone:571-261-4165
Mailing Address - Fax:
Practice Address - Street 1:7200 HERITAGE VILLAGE PLZ
Practice Address - Street 2:SUITE #101
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3069
Practice Address - Country:US
Practice Address - Phone:571-261-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024121487363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily