MEDICARE: DR. LINDA GAY MORRIS ARNP-BC, CNS, PHD

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP 2641072	FL
2	363LA2200X	Adult Health Nurse Practitioner	ARNP2641072	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760517684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA GAY MORRIS ARNP-BC, CNS, PHD

Provider Business Mailing Address
First Line	:	9647 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-2775
Country	:	US
Telephone Number	:	561-523-2155
Fax Number	:	561-880-6991

Provider Business Practice Location Address
First Line	:	9647 PORTA LEONA LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-2775
Country	:	US
Telephone Number	:	561-523-2155
Fax Number	:	561-880-6991

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	01/28/2011

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