Healthcare Provider Details

I. General information

NPI: 1275241002
Provider Name (Legal Business Name): SHANICE MORRISON MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-445-1927
  • Fax: 216-445-1492
Mailing address:
  • Phone: 216-445-1927
  • Fax: 216-445-1492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0032614
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: