MEDICARE: HEARTLAND FAMILY PRACTICE PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1255297628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND FAMILY PRACTICE PLLC

Provider Business Mailing Address
First Line	:	517 S 30TH ST
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-3632
Country	:	US
Telephone Number	:	580-331-3775
Fax Number	:	580-547-4913

Provider Business Practice Location Address
First Line	:	517 S 30TH ST
Second Line	:
City	:	CLINTON
State	:	OK
Zip	:	73601-3632
Country	:	US
Telephone Number	:	580-331-3775
Fax Number	:	580-547-4913

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ASHLEY D MORRIS
Credential	:	APRN
Telephone Number	:	580-331-3775

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	02/03/2026

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Directions to “HEARTLAND FAMILY PRACTICE PLLC ” Practice Location

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