Healthcare Provider Details

I. General information

NPI: 1144681180
Provider Name (Legal Business Name): CAROLYN MORRIS PMHNP-BC, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 02/12/2023
Certification Date: 02/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 GENERAL KNOX RD
WASHINGTON CROSSING PA
18977-1369
US

IV. Provider business mailing address

1099 GENERAL KNOX RD
WASHINGTON CROSSING PA
18977-1369
US

V. Phone/Fax

Practice location:
  • Phone: 215-385-3078
  • Fax:
Mailing address:
  • Phone: 215-385-3078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP021104
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00619100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: