Provider Demographics
NPI:1356380414
Name:MORRIS, HEATHER (WHNP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:WHNP
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 2038
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39442-2038
Mailing Address - Country:US
Mailing Address - Phone:601-649-9904
Mailing Address - Fax:601-649-9903
Practice Address - Street 1:203 S 12TH AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-4324
Practice Address - Country:US
Practice Address - Phone:601-649-9904
Practice Address - Fax:601-649-9903
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR854299363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health