Provider Demographics
NPI:1992143325
Name:MORRIS, MONICA DIANE (FNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:DIANE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:D
Other - Last Name:WILLIAMS, SMOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1164 BUFFALO RUN
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GAP
Mailing Address - State:TX
Mailing Address - Zip Code:79508-2040
Mailing Address - Country:US
Mailing Address - Phone:325-280-5897
Mailing Address - Fax:
Practice Address - Street 1:6417 CENTRAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5884
Practice Address - Country:US
Practice Address - Phone:325-695-6370
Practice Address - Fax:325-695-1505
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily