Individual
MRS. LACEY MICHELLE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
18738 COUNTY ROAD 2171, WHITEHOUSE, TX 75791-5835
(903) 262-5765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134367
TX
363LA2100X
Acute Care Nurse Practitioner
AP134367
TX
363LF0000X
Family Nurse Practitioner
AP134367
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375023401
—
TX
01
—
587469YMAF
MEDICARE
—
01
—
75-2616977-123
TRICARE
TX
01
—
8HB314
BCBS
TX
01
—
P01895900
MEDICARE RAIL ROAD
TX
Enumeration date
07/10/2017
Last updated
04/22/2026
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