MEDICARE: DUSTIN SHANE MORTON PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2020004280	MO

General Provider Information

NPI Number	:	1164062998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUSTIN SHANE MORTON PMHNP

Provider Business Mailing Address
First Line	:	PO BOX 1255
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-4176
Country	:	US
Telephone Number	:	573-664-1047
Fax Number	:	573-218-0716

Provider Business Practice Location Address
First Line	:	203 S WASHINGTON ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1836
Country	:	US
Telephone Number	:	573-664-1047
Fax Number	:	573-218-0716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2020
Last Update Date	:	06/19/2024

Similar Medicare Providers

1831581222 — MS. AMY DIANNA WALLEN FNP
Practice Location Address:

203 S WASHINGTON ST
FARMINGTON, MO
63640-1836

Practice Phone: 573-664-1047
Practice Fax:

1306379482 — MINERAL AREA PSYCHIATRIC SERVICES LLC
Practice Location Address:

203 S WASHINGTON ST
FARMINGTON, MO
63640-1836

Practice Phone: 573-664-1047
Practice Fax:

1891565180 — DSM PSYCHIATRIC SERVICES LLC
Practice Location Address:

203 S WASHINGTON ST
FARMINGTON, MO
63640-1836

Practice Phone: 573-664-1047
Practice Fax: 573-218-0716

1649222696 — CAROL WEINBERG SMITH M.S.W.
Practice Location Address:

37042 KIRKSHIRE CT
FARMINGTON HILLS, MI
48331-1836

Practice Phone: 248-760-9060
Practice Fax: 248-254-3780

1043915762 — CAROLINE SUZANNE MCCAULEY DO
Practice Location Address:

263 FARMINGTON AVE
FARMINGTON, CT
06030-1836

Practice Phone: 860-679-2562
Practice Fax: 860-679-4613

1053243386 — SARA NICOLE DUNCAN
Practice Location Address:

657 WALTON DR
FARMINGTON, MO
63640-1935

Practice Phone: 573-760-8360
Practice Fax:

Directions to “ DUSTIN SHANE MORTON PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.