Provider Demographics
NPI:1811874126
Name:MORRISON, ELAINE (LPN)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:MOUNT NEBO
Mailing Address - State:WV
Mailing Address - Zip Code:26679-0053
Mailing Address - Country:US
Mailing Address - Phone:831-320-9767
Mailing Address - Fax:
Practice Address - Street 1:413 STEWARD LANE
Practice Address - Street 2:
Practice Address - City:MT NEBO
Practice Address - State:WV
Practice Address - Zip Code:26679-0053
Practice Address - Country:US
Practice Address - Phone:831-320-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV42049164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse