Healthcare Provider Details

I. General information

NPI: 1598554792
Provider Name (Legal Business Name): MORGAN LASHAY CALVERT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 BEXAR AVE E
HAMILTON AL
35570-4013
US

IV. Provider business mailing address

120 ALLYE AVE
MOOREVILLE MS
38857-6008
US

V. Phone/Fax

Practice location:
  • Phone: 205-921-1550
  • Fax:
Mailing address:
  • Phone: 662-646-0787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number902089
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907629
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3-002521
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: