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1043732266

NPI Code Detail

MEDICARE: MRS. LACEY MICHELLE MORRIS FNP-C

MEDICARE: MRS. LACEY MICHELLE MORRIS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP134367	TX
2	363LA2100X	Acute Care Nurse Practitioner	AP134367	TX
3	363LF0000X	Family Nurse Practitioner	AP134367	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	587469YMAF	OTHER		MEDICARE
4	P01895900	OTHER	TX	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	75-2616977-123	OTHER	TX	TRICARE
5	8HB314	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1043732266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LACEY MICHELLE MORRIS FNP-C

Provider Business Mailing Address
First Line	:	18738 COUNTY ROAD 2171
Second Line	:
City	:	WHITEHOUSE
State	:	TX
Zip	:	75791-5835
Country	:	US
Telephone Number	:	903-262-5765
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E DAWSON ST
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-2036
Country	:	US
Telephone Number	:	903-593-8441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	04/22/2026

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Directions to “ MRS. LACEY MICHELLE MORRIS FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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