Provider Demographics
NPI:1689169088
Name:MORRIS, SHARON LEE (ARNP, NP-C)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LEE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 OAK TREE BLVD
Mailing Address - Street 2:STE 301
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2585
Mailing Address - Country:US
Mailing Address - Phone:309-752-3223
Mailing Address - Fax:
Practice Address - Street 1:602 14TH ST
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-2615
Practice Address - Country:US
Practice Address - Phone:309-752-3223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-27
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.415982163W00000X
IA136194163W00000X
IL209.017749363L00000X
IAA136194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner