Healthcare Provider Details

I. General information

NPI: 1700799715
Provider Name (Legal Business Name): TONI MORRIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 E HANNA AVE
INDIANAPOLIS IN
46227-3697
US

IV. Provider business mailing address

6572 KING JOHN CT
INDIANAPOLIS IN
46227-7304
US

V. Phone/Fax

Practice location:
  • Phone: 317-696-1073
  • Fax:
Mailing address:
  • Phone: 317-696-1073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28137598A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: