Provider Demographics
NPI:1255884102
Name:MORRIS, EMILY (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-0627
Mailing Address - Country:US
Mailing Address - Phone:318-665-9950
Mailing Address - Fax:318-665-9975
Practice Address - Street 1:10374 HIGHWAY 165 N
Practice Address - Street 2:STE B
Practice Address - City:STERLINGTON
Practice Address - State:LA
Practice Address - Zip Code:71280-3320
Practice Address - Country:US
Practice Address - Phone:318-665-9950
Practice Address - Fax:318-665-9975
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily