MEDICARE: MORGAN RACHELLE PORTER CNP

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	363LF0000X	Family Nurse Practitioner	0039133	OH

General Provider Information

NPI Number	:	1770374084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN RACHELLE PORTER CNP

Provider Business Mailing Address
First Line	:	39680 DAWLEY NEW PITTSBURG RD
Second Line	:
City	:	LOGAN
State	:	OH
Zip	:	43138-9161
Country	:	US
Telephone Number	:	719-565-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 E MAIN ST
Second Line	:
City	:	JUNCTION CITY
State	:	OH
Zip	:	43748-9701
Country	:	US
Telephone Number	:	740-715-3160
Fax Number	:

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

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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