Healthcare Provider Details

I. General information

NPI: 1922482561
Provider Name (Legal Business Name): MICHELE D MORGAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 LANDOVER PL
LYNCHBURG VA
24501-2193
US

IV. Provider business mailing address

620 COURT ST
LYNCHBURG VA
24504-1312
US

V. Phone/Fax

Practice location:
  • Phone: 434-847-8000
  • Fax: 434-847-6094
Mailing address:
  • Phone: 434-485-8862
  • Fax: 434-485-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number0001235956
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024180427
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: