Doctor Name: | TYRONE MORRIS |
NPI Number: | 1134501174 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN, FNP-BC |
License Number: | 3009465 |
Business Practice Address: | 108 W Madison St Louisa, KY - 412301327 |
Business Phone Number: | 6064714184 |
Business Fax Number: | |
Mailing Address: | Po Box 689022, FRANKLIN |
State: | TN |
Postal Code: | 370689022 |
Phone Number: | 6157788539 |
Fax Number: | 6156286877 |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3009465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |