Provider Demographics
NPI:1447897608
Name:MORRIS, ALEXIS MAYCEE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MAYCEE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9924 BLANTON DR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:OH
Mailing Address - Zip Code:44288-1457
Mailing Address - Country:US
Mailing Address - Phone:216-645-5224
Mailing Address - Fax:
Practice Address - Street 1:9924 BLANTON DR
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:OH
Practice Address - Zip Code:44288-1457
Practice Address - Country:US
Practice Address - Phone:216-645-5224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH155158164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse