Healthcare Provider Details

I. General information

NPI: 1265931232
Provider Name (Legal Business Name): NANCY ELLEN MORRIS MSN, APRN-BC, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. NANCY ELLEN KENDERDINE

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 BANDERA HWY STE. 2
KERRVILLE TX
78028
US

IV. Provider business mailing address

1331 BANDERA HWY STE. 2
KERRVILLE TX
78028
US

V. Phone/Fax

Practice location:
  • Phone: 830-214-7012
  • Fax: 830-895-7757
Mailing address:
  • Phone: 830-214-7012
  • Fax: 830-895-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP134257
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP134257
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP134257
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP134257
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: