Provider Demographics
NPI:1427440197
Name:MORRIS, LISA S (NP-C, RN)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:F
Credentials:NP-C, RN
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:S
Other - Last Name:SANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C,RN
Mailing Address - Street 1:148 E HERSEY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1359
Mailing Address - Country:US
Mailing Address - Phone:541-326-4777
Mailing Address - Fax:541-708-6372
Practice Address - Street 1:148 E HERSEY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1359
Practice Address - Country:US
Practice Address - Phone:541-326-4777
Practice Address - Fax:541-708-6372
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201501456NP-PP363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500686175Medicaid
ORR183253Medicare PIN