Healthcare Provider Details

I. General information

NPI: 1659926590
Provider Name (Legal Business Name): AMANDA GAIL MORGAN APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 WEATHERLY DR
CLARKSVILLE TN
37043-8941
US

IV. Provider business mailing address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

V. Phone/Fax

Practice location:
  • Phone: 931-645-3552
  • Fax:
Mailing address:
  • Phone: 615-327-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71636
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: