Healthcare Provider Details

I. General information

NPI: 1275106429
Provider Name (Legal Business Name): JUDITH MORSE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 WHITNEY AVE
MEMPHIS TN
38127-6662
US

IV. Provider business mailing address

2150 WHITNEY AVE
MEMPHIS TN
38127-6662
US

V. Phone/Fax

Practice location:
  • Phone: 901-353-5440
  • Fax:
Mailing address:
  • Phone: 901-353-5440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0000024733
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11029671
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number24733
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024189008
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: