Provider Demographics
NPI:1174548457
Name:MORRIS, HEATHER K (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:K
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 1:3502 22ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1308
Mailing Address - Country:US
Mailing Address - Phone:806-799-4192
Mailing Address - Fax:806-782-0097
Practice Address - Street 1:3502 22ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1308
Practice Address - Country:US
Practice Address - Phone:806-799-4192
Practice Address - Fax:806-799-6299
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112693363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164839602Medicaid
TXP00743588OtherMEDICARE RR
TX8Y9525OtherBCBS
TX164839602Medicaid
TX8Y9525OtherBCBS