Healthcare Provider Details

I. General information

NPI: 1235983586
Provider Name (Legal Business Name): MISS ELLIE MARGUERITE MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 MCCLELLAN BLVD
ANNISTON AL
36201-2132
US

IV. Provider business mailing address

4100 MCCLELLAN BLVD
ANNISTON AL
36201-2132
US

V. Phone/Fax

Practice location:
  • Phone: 256-235-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-181794
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: