Healthcare Provider Details

I. General information

NPI: 1063345171
Provider Name (Legal Business Name): ASHLYN MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 WEEPING CYPRESS DR
MONCKS CORNER SC
29461-6716
US

IV. Provider business mailing address

244 WEEPING CYPRESS DR
MONCKS CORNER SC
29461-6716
US

V. Phone/Fax

Practice location:
  • Phone: 843-640-1083
  • Fax:
Mailing address:
  • Phone: 843-640-1083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number260880
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: