Healthcare Provider Details

I. General information

NPI: 1124942313
Provider Name (Legal Business Name): GABRIELLE ASHLYN MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GABRIELLE ASHLYN WARDLOW

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 PICKWICK ST
SAVANNAH TN
38372-2419
US

IV. Provider business mailing address

575 BRAMBLEWOOD DR
SELMER TN
38375-1953
US

V. Phone/Fax

Practice location:
  • Phone: 731-727-8366
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number42756
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number259570
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: