Healthcare Provider Details

I. General information

NPI: 1275085649
Provider Name (Legal Business Name): PETER MORRIS PMHNP-BC, APN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 06/02/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 BRUNSWICK PIKE
LAWRENCEVILLE NJ
08648-4103
US

IV. Provider business mailing address

1099 GENERAL KNOX RD
WASHINGTON CROSSING PA
18977-1369
US

V. Phone/Fax

Practice location:
  • Phone: 609-396-8877
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP018829
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00672800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: