Healthcare Provider Details

I. General information

NPI: 1306163654
Provider Name (Legal Business Name): KATHERINE STEVENS MORRIS ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE H. STEVENS ACNP-BC

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 HILLCREST DR
CLARKSVILLE TN
37043-5000
US

IV. Provider business mailing address

132 HILLCREST DR
CLARKSVILLE TN
37043-5000
US

V. Phone/Fax

Practice location:
  • Phone: 931-552-0180
  • Fax: 931-572-0915
Mailing address:
  • Phone: 931-552-0180
  • Fax: 931-572-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000014163
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: