MEDICARE: MORGAN KNOWLES

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	363L00000X	Nurse Practitioner	0024185678	VA

General Provider Information

NPI Number	:	1740997055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN KNOWLES

Provider Business Mailing Address
First Line	:	7547 MEDICAL DR STE 1300
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4388
Country	:	US
Telephone Number	:	804-695-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	7547 MEDICAL DR STE 1300
Second Line	:
City	:	GLOUCESTER
State	:	VA
Zip	:	23061-4388
Country	:	US
Telephone Number	:	804-695-8550
Fax Number	:

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

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	04/01/2024

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Directions to “ MORGAN KNOWLES ” Practice Location

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