Provider Demographics
NPI:1780396572
Name:MORRIS, STEPHANIE ANNE (APRN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANNE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1532 LONE OAK RD STE 345
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7942
Mailing Address - Country:US
Mailing Address - Phone:270-444-2250
Mailing Address - Fax:
Practice Address - Street 1:224 PHILLIP STONE WAY
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:KY
Practice Address - Zip Code:42330
Practice Address - Country:US
Practice Address - Phone:270-757-2202
Practice Address - Fax:888-636-5325
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-23
Last Update Date:2024-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3018928363LP0808X
KY1145024163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health