| Mrs Detries R Morris, NP | |
|
4974 Highway 3276 Ste C, Stonewall, LA 71078-9306 | |
| (318) 681-4500 | |
| (318) 681-4356 |
| Full Name | Mrs Detries R Morris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4974 Highway 3276 Ste C, Stonewall, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861583874 | NPI | - | NPPES |
| 1556548 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP03499 (Louisiana) | Primary |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Icp Louisiana Aco Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043894231 PECOS PAC ID: 6103225164 Enrollment ID: O20210524001663 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Detries R Morris, NP 4974 Highway 3276 Ste C, Stonewall, LA 71078-9306 Ph: (318) 681-4500 | Mrs Detries R Morris, NP 4974 Highway 3276 Ste C, Stonewall, LA 71078-9306 Ph: (318) 681-4500 |
Amy Michelle Patterson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 149 Stone Creek Rd, Stonewall, LA 71078 Phone: 318-688-3350 | |
Tiffany Gomez-grubb, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 324 Plantation Hills Blvd, Stonewall, LA 71078 Phone: 318-531-8543 | |
Mrs. Tiffany Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 149 Stone Creek Rd, Stonewall, LA 71078 Phone: 318-688-3350 | |
Olivia Carter Harris, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Stone Creek Rd Ste A, Stonewall, LA 71078 Phone: 318-925-3339 Fax: 318-747-8150 | |
Emily Christine Neal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 316 Clinton Dr, Stonewall, LA 71078 Phone: 318-584-2444 | |
Mrs. Jennifer Dawn Davis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 213 Joe Mac Dr, Stonewall, LA 71078 Phone: 318-347-7415 |