Healthcare Provider Details

I. General information

NPI: 1952912958
Provider Name (Legal Business Name): TINA MORGAN MS, APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 27TH ST
PORTSMOUTH OH
45662-2654
US

IV. Provider business mailing address

1735 27TH ST
PORTSMOUTH OH
45662-2677
US

V. Phone/Fax

Practice location:
  • Phone: 740-356-8772
  • Fax: 740-356-1264
Mailing address:
  • Phone: 740-356-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.0026982
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: