Healthcare Provider Details

I. General information

NPI: 1134210552
Provider Name (Legal Business Name): NANCI J. MORRIS M.S.N., R.N., CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 12/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 UPHAM DR
COLUMBUS OH
43210-1250
US

IV. Provider business mailing address

1670 UPHAM DR
COLUMBUS OH
43210-1250
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-9600
  • Fax: 614-293-4200
Mailing address:
  • Phone: 614-293-9600
  • Fax: 614-293-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number01929NS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: