Provider Demographics
NPI:1104453851
Name:MORRIS, INDIA WALKER (LVN)
Entity type:Individual
Prefix:MRS
First Name:INDIA
Middle Name:WALKER
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 COLLIN MCKINNEY PKWY APT 2707
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5147
Mailing Address - Country:US
Mailing Address - Phone:469-631-6970
Mailing Address - Fax:
Practice Address - Street 1:2580 COLLIN MCKINNEY PKWY APT 2707
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5147
Practice Address - Country:US
Practice Address - Phone:469-631-6970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320603164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse