MARY MORRIS (NPI# 1639143258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639143258 |
| Entity Type | Individual |
| Full Name | MARY MORRIS |
| Credential | CFNP |
| Practice Address |
130 Independence Ln La Follette TN 37766-3031 |
| Mailing Address |
3393 Sugar Grove Valley Rd Harriman TN 37748-4730 |
| Practice Telephone | 4235621705 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN000005746 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992202014 | Mary K Morris | Licensed Practical Nurse | 4573 W Mitchell Ave, Cincinnati, OH 45232-1750 | 2018-04-06 |
| 1245756980 | Mary Morris | Driver | 1717 Treesdale Way Apt 16, Charlottesville, VA 22901-7016 | 2017-08-15 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1023391133 | Mary Catherine Callaghan Morris | Pharmacist | 12811 S Normandy Way, West Palm Beach, FL 33410-1422 | 2011-09-25 |
| 1396050795 | Mary Morris | Pharmacist | 18140 San Pedro Ave, San Antonio, TX 78232-1421 | 2010-08-11 |
| 1033361472 | Mary Beth Morris | Speech-Language Pathologist | 1807 Bunker Hill Dr, Van Buren, AR 72956-2836 | 2008-10-16 |
| 1508981614 | Mary Kathleen Morris | Clinical Neuropsychologist | 140 Decatur St, Suite 1053, Atlanta, GA 30303 | 2007-03-20 |
| 1407462658 | Mary A Morris | Technician | 312 Railroad Ave, Elkins, WV 26241-3859 | 2020-09-22 |
| 1053876508 | Mary Kathleen Morris | Speech-Language Pathologist | 3044 Due West Rd, Dallas, GA 30157-2125 | 2019-02-08 |
| 1205378619 | Mary Morris | Social Worker | 712 First St, Delhi, LA 71232-2421 | 2016-11-16 |
| Street Address |
130 INDEPENDENCE LN |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062197 | John S Burrell | General Practice | 130 Independence Ln, La Follette, TN 37766-3031 | 2005-06-10 |
| 1871113779 | Amy Palmer | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2020-04-21 |
| 1326517947 | Debra Bowling | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-11-14 |
| 1215439203 | William Evan Wilson I | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-03-06 |
| 1598288425 | Mary Emily Tamer | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2017-07-23 |
| 1932581667 | Deborah Lynn Russell | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-06-18 |
| 1083004584 | Andrew Follett | Counselor | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-02-04 |
| 1285046722 | Mountain Home Vamc | Clinic/Center | 130 Independence Ln, La Follette, TN 37766-3031 | 2014-06-02 |
| 1639580772 | Hilda Newby | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3073 | 2014-05-12 |
| 1679848964 | Heather E. Grieve | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609081660 | Melissa Gay Justice | Nurse Practitioner | 402 E Central Ave, La Follette, TN 37766-2530 | 2007-05-13 |
| 1326684226 | Lauren Alysse Lake | Nurse Practitioner | 2145 Jacksboro Pike, La Follette, TN 37766-3003 | 2019-11-26 |
| 1326517947 | Debra Bowling | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-11-14 |
| 1356315931 | Sheila Morehead | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3031 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.