Healthcare Provider Details

I. General information

NPI: 1205757960
Provider Name (Legal Business Name): TIFFANY MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BRICK RD
MARLTON NJ
08053-2177
US

IV. Provider business mailing address

32 CAYUGA LN
MARLTON NJ
08053-5609
US

V. Phone/Fax

Practice location:
  • Phone: 856-355-6040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR15924400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: