Healthcare Provider Details

I. General information

NPI: 1689169088
Provider Name (Legal Business Name): SHARON LEE MORRIS ARNP, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2018
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 14TH ST
SILVIS IL
61282-2615
US

IV. Provider business mailing address

6111 OAK TREE BLVD STE 301
INDEPENDENCE OH
44131-2585
US

V. Phone/Fax

Practice location:
  • Phone: 309-752-3223
  • Fax:
Mailing address:
  • Phone: 800-897-9177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.415982
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number136194
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.017749
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA136194
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: