Healthcare Provider Details

I. General information

NPI: 1619486123
Provider Name (Legal Business Name): EMILY R. MORRISON A-GNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SNIDOW BLVD
NEWPORT NEWS VA
23608-2360
US

IV. Provider business mailing address

575 OLIVER WAY
NEWPORT NEWS VA
23602-6359
US

V. Phone/Fax

Practice location:
  • Phone: 216-978-0315
  • Fax:
Mailing address:
  • Phone: 757-969-3867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024175155
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001240900
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: